John G Rezapour MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A77006 Issued in CA

Legal business name

JOHN G REZAPOUR MD INC

Practice address

16661 Ventura Blvd Ste 211
Encino, CA 91436-1938

Phone

(818) 205-1200

Fax

(818) 205-1254

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

John G Rezapour, M.D.NPI 1194732578

Title

Physician

Phone

(818) 205-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John G Rezapour, MD

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1194732578
  Medicare reassignment NPD Authorized official
• Pejman Bakhtiary, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1174938062
  Medicare reassignment NPD
• Nariman Nassiri, M.D.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1174056857
  Medicare reassignment NPD
• Nafiseh Hashemi, MD

  • Neuro-ophthalmology Physician
  • Encino, CA
  • NPI 1619264645
  NPD (past)
• Nahid Rezapour

  • Student in an Organized Health Care Education/Training Program
  • Encino, CA
  • NPI 1770917585
  NPD (past)
• Ofelia Elisa Marin, M.D.

  • Pediatric Gastroenterology Physician
  • Naples, FL
  • NPI 1740359900
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922282284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361938",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361938",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Balboa Blvd",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165218",
            "country_code": "US",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Balboa Blvd",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165218",
            "country_code": "US",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 W Olympic Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364659",
            "country_code": "US",
            "telephone_number": "310-657-3200",
            "fax_number": "310-657-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN G REZAPOUR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "REZAPOUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-205-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A77006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A770061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.