Individual provider Active NPI

Faris R Ghosheh, MD

  • Ophthalmology Physician
  • Mission Viejo, CA
National Provider Identifier
1922035781
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A86170 Issued in CA
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

Updated by the provider on Nov 7, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000450 CA Practitioner - Ophthalmology 3870506538 Reassigns benefits to 1 organization

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
Advanced Eye Medical Group a Professional CorporationGroup PAC ID 1052357803, 6 clinicians

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 100Reported as group
Quality
95.7
Improvement activities
40
Cost
77.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86170CAMDOphthalmology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Advanced Eye Medical Group a Professional Corporation CurrentSince Jan 1, 2008 Accepting new patients
Advanced Eye Medical Group a Professional Corporation Ophthalmology CurrentSince Jan 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.