Individual provider Active NPI

Justin Dredge, MD

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1780069294
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A146754 Issued in CA
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

Updated by the provider on Nov 27, 2023

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715002942 CA Practitioner - Ophthalmology 0547595431 Reassigns benefits to 2 organizations

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
Valley Eye Institute IncGroup PAC ID 2062847015, 5 clinicians

Practice addresses (Care Compare)

5363 Balboa Blvd
Suite 545
Encino, CA 91316-2854
Phone (818) 906-2929

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146754CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Institute, Inc. Ophthalmology CurrentSince Jul 15, 2020 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2019 Accepting new patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2019 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 secure messaging: 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.

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

Verify at the official NPI Registry.