Individual provider Active NPI

Valentina Lozano

  • Glaucoma Specialist (Ophthalmology) Physician
  • Culver City, CA
National Provider Identifier
1659752079
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
A170452 Issued in CA
Practice address
9808 Venice Blvd Ste 400
Culver City, CA 90232-6807
Phone
(310) 838-0202
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN22064 FL
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A170452 CA Primary

Addresses

Primary practice location

9808 Venice Blvd Ste 400
Culver City, CA 90232-6807

Mailing address

9808 Venice Blvd Ste 400
Culver City, CA 90232-6807
Phone (310) 838-0202

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
I20201204001380 CA Practitioner - Ophthalmology 1355656596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23600 Telo Ave
Suite 100
Torrance, CA 90505-4036
Phone (310) 543-2611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170452CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolstan & Goldberg Eye Associates Inc a Medical Corporaton CurrentSince Oct 23, 2025 Accepting new patients
Wolstan & Goldberg Eye Associates Inc., a Medical Corporaton CurrentSince Oct 23, 2025 Accepting new patients
Los Angeles Vision Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Barry J Wolstan M D Inc. Past Accepting new patients

Locations

9808 Venice Blvd
Ste 400
Culver City, CA 90232
Phone (310) 464-6256

23600 Telo Ave
Ste 100
Torrance, CA 90505
Phone (310) 543-2611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1659752079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-838-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326807",
            "telephone_number": "310-838-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "VALENTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN22064",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A170452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.