Active NPI
Justin Dredge, MD
- Ophthalmology Physician
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A146754
- Practice address
- 5363 Balboa Blvd Ste 545
Encino, CA 91316-2854 - Phone
- (818) 906-2929
- Fax
- (818) 906-0567
- NPI assigned
- Jul 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A146754 | CA | Primary |
Addresses
Primary practice location
5363 Balboa Blvd Ste 545
Encino, CA 91316-2854
Mailing address
5363 Balboa Blvd Ste 545
Encino, CA 91316-2854
Phone (818) 906-2929
Other practice location 1
1450 San Pablo St Ste 4000
Los Angeles, CA 90033-5331
Phone (323) 442-6335
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | justin.dredge@direct.usc.edu | Direct | |
| Direct Messaging Address | direct@ColvardKandavelEyeCenterEncinoCA.compulinkdirect.com | Direct | Valley Eye Institute, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Stony Brook, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5363 Balboa Blvd
Suite 545
Encino, CA 91316-2854
Phone (818) 906-2929
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146754 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Eye Institute, Inc. | Ophthalmology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Ophthalmology | Current | Accepting new patients |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Valley Eye Institute Inc | Ophthalmology | Past | Accepting new patients |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
5363 Balboa Blvd
Ste 545
Encino, CA 91316
Phone (818) 906-2929
1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335
1450 San Pablo St
Ste 4000
Los Angeles, CA 90033
Phone (323) 442-6335
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
Interoperability endpoints
- direct@colvardkandaveleyecenterencinoca.compulinkdirect.com
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Encino, CA
- NPI 1861043374
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
-
- Ophthalmology Physician
- Sidney, OH
- NPI 1033145180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1780069294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD STE 545",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162854",
"telephone_number": "818-906-2929",
"fax_number": "818-906-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD STE 545",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162854",
"telephone_number": "818-906-2929",
"fax_number": "818-906-0567"
}
],
"practiceLocations": [
{
"address_1": "1450 San Pablo St Ste 4000",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900335331",
"country_code": "US",
"telephone_number": "323-442-6335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREDGE",
"first_name": "JUSTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-26",
"last_updated": "2023-11-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A146754",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "justin.dredge@direct.usc.edu",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1450 San Pablo St Ste 4000",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335331",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@ColvardKandavelEyeCenterEncinoCA.compulinkdirect.com",
"affiliation": "Y",
"affiliationName": "Valley Eye Institute, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5363 Balboa Blvd Ste 545",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "913162854",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.