Individual provider Active NPI

Ahmad Saadeddine El-Ghali, OD

  • Optometrist
  • Oxnard, CA
National Provider Identifier
1689344517
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34961-TLG Issued in CA
Practice address
2001 Ventura Blvd
Oxnard, CA 93036-1813
Phone
(805) 983-2377
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34961-TLG CA Primary

Addresses

Primary practice location

2001 Ventura Blvd
Oxnard, CA 93036-1813

Mailing address

21025 Lull St
Canoga Park, CA 91304-5613
Phone (818) 854-5369

Other practice location 1

6100 Sepulveda Blvd
Van Nuys, CA 91411-2503
Phone (818) 373-0212

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001139 CA Practitioner - Optometry 7810330669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
You and Eyecare Optometry IncGroup PAC ID 5193267797, 4 clinicians
Bream Optometry, Inc.Group PAC ID 4385073568, 4 clinicians

Practice addresses (Care Compare)

2001 Ventura Blvd
Oxnard, CA 93036-1813
Phone (805) 983-2377

7095 Market Place Dr
Goleta, CA 93117-5905
Phone (805) 562-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34961-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
You and Eyecare Optometry, Inc. Optometrist CurrentSince May 1, 2024 Accepting new patients
Bream Optometry, Inc. Optometrist CurrentSince Jan 18, 2024 Accepting new patients

Locations

2001 Ventura Blvd
Oxnard, CA 93036
Phone (805) 983-2377

7095 Market Place Dr
Santa Barbara, CA 93117
Phone (805) 562-1300

Organizations & group practices 2

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1689344517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21025 LULL ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045613",
            "telephone_number": "818-854-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VENTURA BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361813",
            "telephone_number": "805-983-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914112503",
            "country_code": "US",
            "telephone_number": "818-373-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-GHALI",
        "first_name": "AHMAD",
        "middle_name": "SAADEDDINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34961-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.