Individual provider Active NPI

Faramarz Davidi, M.D.

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1902010937
Registry record updated Jun 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A051024 Issued in CA
Practice address
16260 Ventura Blvd
Suite # 830
Encino, CA 91436-2203
Phone
(818) 990-8008
Fax
(818) 990-5030
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A051024 CA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X A051024 CA
General Practice Physician 208D00000X A051024 CA

Addresses

Primary practice location

16260 Ventura Blvd
Suite # 830
Encino, CA 91436-2203

Mailing address

16260 Ventura Blvd
Suite # 830
Encino, CA 91436-2203
Phone (818) 990-8008

Other identifiers 1

IdentifierTypeStateIssuer
00A510244MedicaidCA

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
I20101005001025 CA Practitioner - OphthalmologyPractitioner - General PracticePractitioner - Plastic and Reconstructive Surgery 7416149737 Practice locations: Beverly Hills, CA; Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: General Practice, Plastic and Reconstructive Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16260 Ventura Blvd
Suite 830
Encino, CA 91436-2266
Phone (818) 990-8008

9735 Wilshire Blvd
Suite 210
Beverly Hills, CA 90212-2102
Phone (310) 888-1192

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51024CAMDMarriage & Family Therapist
A051024CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1902010937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE # 830",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-990-8008",
            "fax_number": "818-990-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE # 830",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-990-8008",
            "fax_number": "818-990-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDI",
        "first_name": "FARAMARZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A051024",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A051024",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A051024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.