Kourosh Eghbali, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A78218 Issued in CA

Practice address

2601 W Alameda Ave
#204
Burbank, CA 91505-4800

Phone

(818) 846-9999

Fax

(818) 846-3160

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Ophthalmology

Education

University of California, Davis School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eghbali Medical Surgical IncGroup PAC ID 4981893088, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eghbali Medical Surgical Inc

  dba East Valley Eye Center

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1831406693
  Medicare reassignment Care Compare group NPD
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093934986
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1609095587
  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1952379174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "#204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-846-9999",
            "fax_number": "818-846-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "#204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-846-9999",
            "fax_number": "818-846-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHBALI",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A78218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A782180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Edwards, PT, DPT
• Sarah Edwards
• Eg Home Health Care, Inc.
• Eghbali Medical Surgical Inc (East Valley Eye Center)
• Farid Eghbali, OD
• Eileen Fran Schwartz
• Hailey Einhardt
• Daniel Alexander Eisenberg, MD
• Yael Eiserike, LCSW
• Vanessa Ejikeme-Daniel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.