Individual provider Active NPI

George M Rajacich, M.D.

  • Ophthalmology Physician
  • Van Nuys, CA
National Provider Identifier
1962407593
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G44103 Issued in CA
Practice address
14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone
(818) 787-2020
Fax
(818) 787-8652
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 G44103 CA Primary

Addresses

Primary practice location

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289

Mailing address

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020

Other identifiers 3

IdentifierTypeStateIssuer
GR0063310MedicaidCA
ZZZ91696ZOtherCABLUE SHIELD
WG44103DOtherCAPPIN

Other names 1

  • Dr. George M Rajacich Former name

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
I20070524000718 CA Practitioner - Ophthalmology 3375447212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M Rajacich MD IncGroup PAC ID 1658275599, 3 clinicians
Darin Eye Center, a Medical CorporationGroup PAC ID 9234234584, 3 clinicians

Practice addresses (Care Compare)

14624 Sherman Way
Suite 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020

425 Haaland Dr
Suite 103
Thousand Oaks, CA 91361-5230
Phone (805) 345-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44103CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George M. Rajacich, M.D., Inc. Ophthalmology CurrentSince Jan 1, 1995 Accepting new patients
Mazzocco Ambulatory Surgical Center PastSince Jan 1, 1995 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

14624 Sherman Way
Ste 508
Van Nuys, CA 91405
Phone (818) 908-4999

14914 Sherman Way
Van Nuys, CA 91405
Phone (818) 787-2020

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

696 Hampshire Rd
Ste 120
Westlake Vlg, CA 91361
Phone (805) 345-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: george.rajacich.p2@direct.valleyeyecenter.nextgenshare.com
  • Direct secure messaging: george.rajacich.p3@direct.valleyeyecenter.nextgenshare.com
  • Direct secure messaging: george.rajacich.p1@direct.valleyeyecenter.nextgenshare.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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1962407593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 508",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052289",
            "telephone_number": "818-787-2020",
            "fax_number": "818-787-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 508",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052289",
            "telephone_number": "818-787-2020",
            "fax_number": "818-787-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJACICH",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G44103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ91696Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WG44103D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "RAJACICH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.