Individual provider Active NPI

Lori B Birndorf, D.O

  • Ophthalmology Physician
  • Valley Village, CA
National Provider Identifier
1881636496
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A6178 Issued in CA
Practice address
12139 Riverside Dr
Valley Village, CA 91607-3832
Phone
(818) 763-7100
Fax
(818) 763-2331
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 20A6178 CA Primary

Addresses

Primary practice location

12139 Riverside Dr
Valley Village, CA 91607-3832

Mailing address

377 E Chapman Ave Ste 240
Placentia, CA 92870-5091
Phone (714) 572-2039

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
I20031110000468 CA Practitioner - Ophthalmology 3173436748 Reassigns benefits to 1 organization
Practice locations: Placentia, CA; Stockton, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6178CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren J Reingold, MD, AMC CurrentSince Jul 8, 2011 Accepting new patients
Oxnard Eye Associates Medical Group, Inc. Ophthalmology Past Accepting new patients
Advanced Retina Associates Medical Group, Inc Ophthalmology Past Accepting new patients

Locations

12139 Riverside Dr
Valley Vlg, CA 91607
Phone (818) 763-3937

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_advancedretinaassociates

Organizations & group practices 3

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1881636496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E CHAPMAN AVE STE 240",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705091",
            "telephone_number": "714-572-2039",
            "fax_number": "714-572-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073832",
            "telephone_number": "818-763-7100",
            "fax_number": "818-763-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNDORF",
        "first_name": "LORI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A6178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.