Individual provider Active NPI

Benjamin Kambiz Ghiam, MD

  • Neuro-ophthalmology Physician
  • Encino, CA
National Provider Identifier
1669933966
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
A185965 Issued in CA
Practice address
16542 Ventura Blvd Ste 515
Encino, CA 91436-4581
Phone
(818) 387-6565
Fax
(818) 387-6288
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X A185965 CA Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 515
Encino, CA 91436-4581

Mailing address

16542 Ventura Blvd Ste 515
Encino, CA 91436-4581
Phone (818) 387-6565

Other practice location 1

5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
Phone (818) 387-6565

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
I20230525002294 CA Practitioner - Ophthalmology 6204292766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16542 Ventura Blvd
Suite 515
Encino, CA 91436-4581
Phone (818) 387-6565

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185965CAMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ghiam Eye PC Neuro-Ophthalmology CurrentSince Feb 26, 2024 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Michael Ghiam MD PC PastSince Feb 1, 2024 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

16542 Ventura Blvd
Ste 515
Encino, CA 91436
Phone (818) 387-6565

16542 Ventura Blvd
Ste 502
Encino, CA 91436

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bghiam710384@direct.uclahealth.org
  • Direct secure messaging: bghiam31567@ehrdirect.uhhospitals.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1669933966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364581",
            "telephone_number": "818-387-6565",
            "fax_number": "818-387-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364581",
            "telephone_number": "818-387-6565",
            "fax_number": "818-387-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 Balboa Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913162859",
            "country_code": "US",
            "telephone_number": "818-387-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHIAM",
        "first_name": "BENJAMIN",
        "middle_name": "KAMBIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "CA",
            "license": "A185965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.