Active NPI
Ophthalmology Associates of the Valley Medical Group
- Ophthalmology Physician
- Encino, CA
National Provider Identifier
1962483537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP
- Practice address
- 16311 Ventura Blvd
Suite 750
Encino, CA 91436-2124 - Phone
- (818) 990-3623
- Fax
- (818) 788-1056
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Aizuss, M.D.
- Title
- Ceo
- Phone
- (818) 990-3623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
Suite 750
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd
Suite 750
Encino, CA 91436-2124
Phone (818) 990-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W10886 | Other | CA | MEDICARE |
| W10886A | Other | CA | MEDICARE |
Other names 1
- Encino Ophthalmology Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329001739 | CA | Part B Supplier - Clinic/Group Practice | 9032001342 |
Receives reassigned benefits from 9 practitioners Practice locations: Encino, CA; West Hills, CA |
| O20100930000565 | CA | DME Supplier - Physician - Ophthalmology | 9032001342 | Practice locations: Encino, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2061091 | Ophthalmology Associates of the Valley | Certificate of waiver | Jun 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
16311 Ventura Blvd
Ste 750
Encino, CA 91436
Phone (818) 990-3623
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- W Lake Hills, TX
- NPI 1538140108
CA, Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1962483537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 750",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-990-3623",
"fax_number": "818-788-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 750",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-990-3623",
"fax_number": "818-788-1056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "AIZUSS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-990-3623",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W10886",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W10886A",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Encino Ophthalmology Associates",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.