Organization Active NPI

The Retina Partners

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1689945990
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A90804 Issued in CA
Legal business name
THE RETINA PARTNERS
Practice address
16500 Ventura Blvd
Suite 250
Encino, CA 91436-2011
Phone
(818) 788-9333
Fax
(818) 788-9273
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Hajir Dadgostar, M.D.,PHD.NPI 1144427568
Title
Vice President
Phone
(818) 788-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A90804 CA Primary

Addresses

Primary practice location

16500 Ventura Blvd
Suite 250
Encino, CA 91436-2011

Mailing address

16500 Ventura Blvd
Suite 250
Encino, CA 91436-2011
Phone (818) 788-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000456 CA Part B Supplier - Clinic/Group Practice 3274795869 Receives reassigned benefits from 7 practitioners
Practice locations: Culver City, CA; Encino, CA; Santa Clarita, CA; Santa Monica, CA; Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113980The Retina Partners16500 Ventura Blvd Ste 250, Encino, CA 91436Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Locations

16500 Ventura Blvd
Ste 250
Encino, CA 91436
Phone (818) 788-9333

2021 Santa Monica Blvd
Ste 729E
Santa Monica, CA 90404
Phone (310) 829-3303

100 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 341-3144

Interoperability endpoints

  • Direct secure messaging: jcao@retinapart.intellechartdirect.net
  • Direct secure messaging: hdadgostar@retinapart.intellechartdirect.net
  • Direct secure messaging: thanscom@retinapart.intellechartdirect.net
  • Direct secure messaging: ejung@retinapart.intellechartdirect.net
  • Direct secure messaging: aguerami@retinapart.intellechartdirect.net
  • Direct secure messaging: rengstrom@retinapart.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1689945990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "SUITE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-788-9333",
            "fax_number": "818-788-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "SUITE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-788-9333",
            "fax_number": "818-788-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "DADGOSTAR",
        "authorized_official_first_name": "HAJIR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-788-9333",
        "authorized_official_credential": "M.D.,PHD."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A90804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.