Individual provider Active NPI

Nika Bagheri, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Simi Valley, CA
National Provider Identifier
1790040087
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A153884 Issued in CA
Practice address
1687 Erringer Rd Ste 102
Simi Valley, CA 93065-6509
Phone
(805) 330-1482
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A153884 CA Primary
Ophthalmology Physician 207W00000X 125.060927 IL

Addresses

Primary practice location

1687 Erringer Rd Ste 102
Simi Valley, CA 93065-6509

Mailing address

1687 Erringer Rd Ste 102
Simi Valley, CA 93065-6509
Phone (805) 694-9663

Other identifiers 1

IdentifierTypeStateIssuer
00A153884MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20180626002657 CA Practitioner - Ophthalmology 9234360355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1687 Erringer Rd
Simi Valley, CA 93065-6509
Phone (805) 330-1482

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.060927ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Simi Valley Retina Specialists Inc Retina Specialist Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 2, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 2, 2024 Accepting new patients
California Retina Consultants Retina Specialist CurrentSince Aug 1, 2018 Accepting new patients
California Retina Consultants Retina Specialist Current Accepting new patients
University of Miami Past Accepting new patients

Locations

2901 N Ventura Rd
Ste 250
Oxnard, CA 93036
Phone (805) 983-8808

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

104 Gateway Center Dr
Ste B
Paso Robles, CA 93446
Phone (805) 237-1610

525 E Micheltorena St
Ste A
Santa Barbara, CA 93103
Phone (805) 963-1648

1687 Erringer Rd
Ste 102
Simi Valley, CA 93065
Phone (805) 526-9110

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

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

Interoperability endpoints

  • Direct secure messaging: nbagheri43780@direct.med.miami.edu

Organizations & group practices 8

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1790040087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-694-9663",
            "fax_number": "805-694-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-330-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "NIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A153884",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125.060927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A153884",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.