Active NPI
Ferzaad Moosa, M.D.
- Ophthalmology Physician
- Encino, CA
National Provider Identifier
1851592778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A60007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A60007 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Laser Vision Institute | Past | 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.
-
- Ophthalmologic Surgery Clinic/Center
- Encino, CA
- NPI 1518266568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.