Bernard Davidorf, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C28433 Issued in CA

Practice address

7320 Woodlake Ave
Suite 190
West Hills, CA 91307-1468

Phone

(818) 883-0112

Fax

(818) 883-2767

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan M. Davidorf, M.D. Inc.

  • Ophthalmology Physician
  • West Hills, CA
  • NPI 1396913695
  Medicare reassignment NPD

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1841387982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 190",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-0112",
            "fax_number": "818-883-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 190",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-0112",
            "fax_number": "818-883-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDORF",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C28433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C284330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kamrava MD Inc
• David L. Feingold, M.D., Inc.
• David S Khandabi MD Inc
• Lorna David
• Mary David, PSYD
• Jonathan M Davidorf, M.D.
• Cherri Lynn Davies
• Jean Drukker Davis, PT, MPH
• Victoria De Felice, N.P.
• David Paul Deisinger, MPT

• Ophthalmology Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.