Active NPI
Faris R Ghosheh, MD
- Ophthalmology Physician
- Mission Viejo, CA
National Provider Identifier
1922035781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A86170
- Practice address
- 26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356 - Phone
- (949) 582-1090
- Fax
- (949) 582-2862
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A86170 | CA | Primary |
Addresses
Primary practice location
26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356
Mailing address
26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356
Phone (949) 582-1090
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, Irvine, California College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26701 Crown Valley Pkwy
Mission Viejo, CA 92691-6356
Phone (714) 582-1090
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 95.7
- Improvement activities
- 40
- Cost
- 77.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 403 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86170 | CA | MD | Ophthalmology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eye Medical Group a Professional Corporation | Current | Accepting new patients | |
| Advanced Eye Medical Group a Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Vantage Eyecare, LLC | Past | Accepting new patients | |
| Corneal Associates, PC | Ophthalmology | Past | Accepting new patients |
Locations
26701 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 582-1010
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- fghosheh@advancedeyemedical.direct.eyemdemr.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Mission Viejo, CA
- NPI 1003968017
-
- Ambulatory Surgical Clinic/Center
- Mission Viejo, CA
- NPI 1558511881
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1609874353
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1881228930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1922035781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26701 CROWN VALLEY PKWY",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916356",
"telephone_number": "949-582-1090",
"fax_number": "949-582-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26701 CROWN VALLEY PKWY",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916356",
"telephone_number": "949-582-1090",
"fax_number": "949-582-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSHEH",
"first_name": "FARIS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A86170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.