Advanced Retina Associates Medical Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G73456 Issued in CA

Legal business name

ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC

Practice address

17750 Sherman Way, Suite 100
Reseda, CA 91335

Phone

(818) 886-6700

Fax

(818) 886-6709

NPI assigned

Aug 16, 2006

Last updated

Nov 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Logani, M.D.NPI 1124131958

Title

President

Phone

(818) 886-6700

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_advancedretinaassociates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay Logani, MD

  • Retina Specialist (Ophthalmology) Physician
  • Reseda, CA
  • NPI 1124131958
  Medicare reassignment Care Compare group Authorized official
• Aleksandr Yelenskiy, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1578981395
  Medicare reassignment Care Compare group NPD
• Hardeep Kaur Kataria, O.D

  • Optometrist
  • Porter Ranch, CA
  • NPI 1043564362
  Medicare reassignment NPD
• Amr Kouchouk

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1639499718
  Medicare reassignment NPD
• Lori B Birndorf, D.O

  • Ophthalmology Physician
  • Valley Village, CA
  • NPI 1881636496
  NPD (past)
• Marta A Recasens, M. D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1467541508
  NPD (past)
• Jerred Nemerson, PA-C

  • Physician Assistant
  • Coral Springs, FL
  • NPI 1104419910
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1730292541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY, SUITE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY, SUITE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "LOGANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-886-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT015370TLG",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G73456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102223",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102222",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102221",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.