Individual provider Active NPI

Farhad Rabbani, MD

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1770503161
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A44623 Issued in CA
Practice address
16550 Ventura Blvd #200
Encino, CA 91436
Phone
(310) 657-7676
Fax
(818) 501-5332
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 A44623 CA Primary

Addresses

Primary practice location

16550 Ventura Blvd #200
Encino, CA 91436

Mailing address

16550 Ventura Blvd #200
Encino, CA 91436
Phone (310) 657-7676

Other identifiers 1

IdentifierTypeStateIssuer
00A446230MedicaidCA

Other names 1

  • Farhad Rabbani Former name

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
I20050103001026 CA Practitioner - Ophthalmology 8527026814 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9735 Wilshire Blvd
Suite 210
Beverly Hills, CA 90212-2102
Phone (310) 657-7676

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44623CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1770503161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD #200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "310-657-7676",
            "fax_number": "818-501-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD #200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "310-657-7676",
            "fax_number": "818-501-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANI",
        "first_name": "FARHAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A44623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARHAD",
            "last_name": "RABBANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.