Individual provider Active NPI

Ferzaad Moosa, M.D.

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1851592778
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A60007 Issued in CA
Practice address
16130 Ventura Blvd.
Suite # 120
Encino, CA 91436-2552
Phone
(818) 907-8606
Fax
(818) 379-9786
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 A60007 CA Primary

Addresses

Primary practice location

16130 Ventura Blvd.
Suite # 120
Encino, CA 91436-2552

Mailing address

16542 Ventura Blvd Ste 400
Encino, CA 91436-5045
Phone (818) 907-8606

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
I20111221000375 CA Practitioner - Ophthalmology 1850567835 Practice locations: Encino, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60007CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Laser Vision Institute PastSince Nov 29, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1851592778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365045",
            "telephone_number": "818-907-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 VENTURA BLVD.",
            "address_2": "SUITE # 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362552",
            "telephone_number": "818-907-8606",
            "fax_number": "818-379-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSA",
        "first_name": "FERZAAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A60007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.