Individual provider Active NPI

Uday Devgan, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1801831219
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A65426 Issued in CA
Practice address
11600 Wilshire Blvd.
Suite 200
Los Angeles, CA 90025
Phone
(310) 696-0330
Fax
(310) 388-3028
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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 A65426 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd.
Suite 200
Los Angeles, CA 90025

Mailing address

11600 Wilshire Blvd.
Suite 200
Los Angeles, CA 90025
Phone (310) 696-0330

Other identifiers 1

IdentifierTypeStateIssuer
00A654260MedicaidCA

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
I20041105000197 CA Practitioner - Ophthalmology 3870556442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Majid Moarefi MD IncGroup PAC ID 1153863766, 2 clinicians

Practice addresses (Care Compare)

11600 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-1782
Phone (310) 828-2020

Hospital & facility affiliations

  • Lac/Olive View-UCLA Medical Center Hospital, Sylmar, CA, CCN 050040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65426CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Majid Moarefi MD Inc Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients

Locations

11600 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 696-0330

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1801831219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD.",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-696-0330",
            "fax_number": "310-388-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD.",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-696-0330",
            "fax_number": "310-388-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVGAN",
        "first_name": "UDAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A65426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A654260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.