Individual provider Active NPI

Alena Reznik, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1871720987
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A113775 Issued in CA
Practice address
1401 Avocado Ave Ste 302
Newport Beach, CA 92660-7787
Phone
(949) 288-2382
Fax
(949) 288-0344
NPI assigned
Jun 16, 2009
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 A113775 CA Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 302
Newport Beach, CA 92660-7787

Mailing address

8568 Burton Way
Apt 102
Los Angeles, CA 90048-3345
Phone (310) 980-6038

Other identifiers 1

IdentifierTypeStateIssuer
0A1137750MedicaidCA

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
I20130617000223 CA Practitioner - OphthalmologyPractitioner - Hospice/Palliative Care 2365681707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians
Jacob Reznik MD and Alena Reznik MD a Prof CorpGroup PAC ID 7719380088, 2 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6300
Phone (833) 270-3937

1401 Avocado Ave
Suite 302
Newport Beach, CA 92660-7787
Phone (949) 288-2382

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D. Fritch, M.D., Inc Ophthalmology CurrentSince Nov 1, 2019 Accepting new patients
Cha Medical and Surgical Group, PC Ophthalmology CurrentSince Mar 11, 2019 Accepting new patients
Jacob Reznik MD and Alena Reznik MD a Prof Corp Ophthalmology CurrentSince Jun 7, 2021 Accepting new patients
Eyesthetica PastSince Jul 3, 2024 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

8501 Brimhall Rd
Ste 402
Bakersfield, CA 93312
Phone (661) 665-2020

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 100
Los Angeles, CA 90027
Phone (323) 913-4300

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1300 N Vermont Ave
Ste 701
Los Angeles, CA 90027
Phone (323) 661-0772

8635 W 3rd St
Ste 360W
Los Angeles, CA 90048
Phone (310) 657-2777

1401 Avocado Ave
Ste 302
Newport Beach, CA 92660
Phone (310) 980-6038

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1871720987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8568 BURTON WAY",
            "address_2": "APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483345",
            "telephone_number": "310-980-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607787",
            "telephone_number": "949-288-2382",
            "fax_number": "949-288-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "ALENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A113775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1137750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.