NPIMap

Organization Active NPI

Eye Institute of Southern California, a Medical Corporation

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1801272398
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A120299 Issued in CA
Legal business name
EYE INSTITUTE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION
Practice address
16311 Ventura Blvd Ste 955
Encino, CA 91436-4339
Phone
(818) 650-2000
Fax
(818) 884-0231
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Shaden Sarafzadeh, M.D.
Title
Owner/President
Phone
(818) 300-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X A120299 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd Ste 955
Encino, CA 91436-4339

Mailing address

16311 Ventura Blvd Ste 955
Encino, CA 91436-4339
Phone (818) 650-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1801272398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 955",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364339",
            "telephone_number": "818-650-2000",
            "fax_number": "818-884-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 955",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364339",
            "telephone_number": "818-650-2000",
            "fax_number": "818-884-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "SARAFZADEH",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-300-7304",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A120299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.