Organization Active NPI

Valley Eye Institute, Inc.

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1861043374
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VALLEY EYE INSTITUTE, INC.
Practice address
5363 Balboa Blvd Ste 545
Encino, CA 91316-2854
Phone
(818) 906-2929
Fax
(818) 906-2965
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Ganesha Ramana Kandavel, MDNPI 1366533846
Title
President
Phone
(818) 906-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5363 Balboa Blvd Ste 545
Encino, CA 91316-2854

Mailing address

5363 Balboa Blvd Ste 545
Encino, CA 91316-2854
Phone (818) 906-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121001499 CA Part B Supplier - Clinic/Group Practice 2062847015 Receives reassigned benefits from 5 practitioners
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1861043374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 545",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162854",
            "telephone_number": "818-906-2929",
            "fax_number": "818-906-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 545",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162854",
            "telephone_number": "818-906-2929",
            "fax_number": "818-906-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "KANDAVEL",
        "authorized_official_first_name": "GANESHA",
        "authorized_official_middle_name": "RAMANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-906-2929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.