Individual provider Active NPI

Ribhi K Ghosheh, MD

  • Ophthalmology Physician
  • Mission Viejo, CA
National Provider Identifier
1659474112
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A035270 Issued in CA
Practice address
26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356
Phone
(949) 582-1090
Fax
(949) 582-2892
NPI assigned
Sep 7, 2006
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A035270 CA Primary

Addresses

Primary practice location

26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356

Mailing address

26701 Crown Valley Parkway
Mission Viejo, CA 92691
Phone (949) 582-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000418 CA Practitioner - Ophthalmology 9335238880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35270CAMDClinical Psychologist
A035270CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Medical Group a Professional Corporation Ophthalmology CurrentSince Jan 1, 1973 Accepting new patients
Advanced Eye Medical Group a Professional Corporation CurrentSince Jan 1, 1973 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 582-1010

26701 Crown Valley Pkwy
Fl 2
Mission Viejo, CA 92691

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1659474112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26701 CROWN VALLEY PARKWAY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-582-1090",
            "fax_number": "949-582-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26701 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916356",
            "telephone_number": "949-582-1090",
            "fax_number": "949-582-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSHEH",
        "first_name": "RIBHI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A035270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.