Golareh Fazilat, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A10143 Issued in CA

Practice address

23832 Rockfield Blvd Ste 150
Lake Forest, CA 92630-2820

Phone

(949) 502-3333

Fax

(949) 229-3685

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

OphthalmologyAlso: Optometry

Education

Howard University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• G. Fazilat, Inc

  • Ophthalmology Physician
  • Lake Forest, CA
  • NPI 1275841223
  Medicare reassignment Authorized official
• Emanate Health Foothill Presbyterian Hospital

  • General Acute Care Hospital
  • Glendora, CA
  • NPI 1992733513
  NPD (past)
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1881880896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 150",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302820",
            "telephone_number": "949-502-3333",
            "fax_number": "949-229-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 150",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302820",
            "telephone_number": "949-502-3333",
            "fax_number": "949-229-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZILAT",
        "first_name": "GOLAREH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CA",
            "license": "A10143",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A10143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad Nikoo Inc
• Bianca Faridian, PHARMD
• Nina Farokhian, NMD
• Mary M Farshidpour, DMD
• Lisa Anne Fasnacht Hill, PHD
• Aya Felling, M.A, A.T.C., C.S.C.S
• Raul Fernandez
• Anna Ferrante
• Spencer Fetterman
• Rigoberto Fierro

• Ophthalmology Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.