Individual provider Active NPI

Moises Enghelberg, D.O.

  • Ophthalmology Physician
  • Agoura Hills, CA
National Provider Identifier
1730570896
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A17131 Issued in CA
Practice address
30200 Agoura Rd Ste 140
Agoura Hills, CA 91301-5426
Phone
(747) 247-8400
Fax
(747) 247-8111
NPI assigned
Feb 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A17131 CA Primary

Addresses

Primary practice location

30200 Agoura Rd Ste 140
Agoura Hills, CA 91301-5426

Mailing address

30200 Agoura Rd Ste 140
Agoura Hills, CA 91301-5426
Phone (747) 247-8400

Other practice location 1

11370 Anderson St Ste 1800
Loma Linda, CA 92354-3450
Phone (909) 558-2154

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
I20190722001518 CA Practitioner - Ophthalmology 3870854672 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nariman Nassiri MD IncGroup PAC ID 0941704506, 4 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E130
Palm Springs, CA 92262-4876
Phone (760) 320-8497

23861 McBean Pkwy
Suite E21
Valencia, CA 91355-4457
Phone (626) 900-8875

30200 Agoura Rd
Suite 140
Agoura Hills, CA 91301-5426
Phone (747) 247-8400

4949 Market St
Ventura, CA 93003-7851
Phone (877) 608-0044

888 S Hill Rd
Ventura, CA 93003-8400
Phone (805) 477-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17131CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 29, 2025 Accepting new patients
Desert Ophthalmology Medical Corporation Ophthalmology CurrentSince Aug 10, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 29, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Pacific Eye Institute a Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Retina Institute PC Ophthalmology CurrentSince Aug 12, 2025 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Desert Ophthalmology Medical Corporation Ophthalmology CurrentSince Aug 10, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Ophthalmology Current Accepting new patients
Nariman Nassiri MD Inc Ophthalmology CurrentSince Feb 4, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

30200 Agoura Rd
Ste 140
Agoura Hills, CA 91301
Phone (747) 247-8400

16177 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-0618

15099 Kamana Rd
Apple Valley, CA 92307

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

44469 10th St W
#B
Lancaster, CA 93534

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

72650 Fred Waring Dr
Ste 109
Palm Desert, CA 92260
Phone (760) 320-8497

1180 N Indian Canyon Dr
Ste E130
Palm Springs, CA 92262
Phone (760) 320-7051

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

591 N 13th Ave
Ste 2
Upland, CA 91786
Phone (909) 946-6209

23861 McBean Pkwy
Ste E21
Valencia, CA 91355
Phone (626) 900-8875

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: menghelberg@uvpdlv.intellechartdirect.net
  • Direct secure messaging: menghelberg261477@direct.llu.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1730570896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 140",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015426",
            "telephone_number": "747-247-8400",
            "fax_number": "747-247-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 140",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015426",
            "telephone_number": "747-247-8400",
            "fax_number": "747-247-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11370 Anderson St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGHELBERG",
        "first_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A17131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.