Organization Active NPI

George M Rajacich MD Inc

  • Eyewear Supplier
  • Van Nuys, CA
National Provider Identifier
1811964653
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G044103 Issued in CA
Legal business name
GEORGE M RAJACICH MD INC
Practice address
14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone
(818) 787-2020
Fax
(818) 787-8652
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Dr. George M Rajacich, M.D.
Title
President
Phone
(818) 787-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X G044103 CA Primary

Addresses

Primary practice location

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289

Mailing address

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020

Other identifiers 3

IdentifierTypeStateIssuer
GR0063310MedicaidCA
ZZZ91696ZOtherCABLUE SHIELD
WG44103DOtherCAPPIN NUMBER

Other names 1

  • VALLEY EYE CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1811964653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 508",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052289",
            "telephone_number": "818-787-2020",
            "fax_number": "818-787-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 508",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052289",
            "telephone_number": "818-787-2020",
            "fax_number": "818-787-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M RAJACICH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "RAJACICH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-787-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "G044103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ91696Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN NUMBER",
            "identifier": "WG44103D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.