Individual provider Active NPI

Mauricio Enrique Vargas, M.D.

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1871997502
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A131357 Issued in CA
Practice address
2895 Loma Vista Rd Ste C
Ventura, CA 93003-1535
Phone
(805) 413-5557
NPI assigned
Oct 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 A131357 CA Primary

Addresses

Primary practice location

2895 Loma Vista Rd Ste C
Ventura, CA 93003-1535

Mailing address

1919 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 484-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180530002546 OR Practitioner - Ophthalmology 4880959501 Reassigns benefits to 1 organization
I20180601000613 CA Practitioner - Ophthalmology 4880959501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul P Nazemi MD IncGroup PAC ID 8729159173, 5 clinicians
Serra Community Medical Clinic IncGroup PAC ID 6204732928, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

2820 Townsgate Rd
Suite 100
Westlake Village, CA 91361-3069
Phone (805) 497-7976

2895 Loma Vista Rd
Ventura, CA 93003-1535
Phone (877) 397-9200

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131357CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Memorial Clinic PC CurrentSince Aug 1, 2020 Accepting new patients
Paul P Nazemi MD Inc Ophthalmology CurrentSince Dec 1, 2022 Accepting new patients
Bend Memorial Clinic PC Ophthalmology Current Accepting new patients
Serra Community Medical Clinic Inc Ophthalmology Current Accepting new patients
Genetic Eye Therapies PC CurrentSince Jan 1, 2023 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Oct 14, 2023 Accepting new patients
Serra Community Medical Clinic, Inc CurrentSince Oct 14, 2023 Accepting new patients
Sunshine Eye Services CurrentSince Dec 1, 2022 Accepting new patients

Locations

200 S A St
Ste 210
Oxnard, CA 93030
Phone (805) 483-4804

1000 Town Center Dr
Ste 300
Oxnard, CA 93036
Phone (805) 351-8860

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

8426 Sunland Blvd
Sun Valley, CA 91352
Phone (815) 504-4514

2895 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 413-5557

2820 Townsgate Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 367-8219

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1871997502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-484-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031535",
            "telephone_number": "805-413-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "MAURICIO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A131357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.