Provider Type Icon

ADVANCED RETINA ASSOCIATES MEDICAL GROUP INC NPI 1730292541


NPI Information

NPI: 1730292541
Provider Name: ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
17750 SHERMAN WAY, SUITE 100
RESEDA, CA
ZIP 91335
Phone: (818) 886-6700
Get Directions

ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC is an ophthalmology in Reseda, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC NPI is 1730292541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17750 SHERMAN WAY, SUITE 100
RESEDA, CA
ZIP 91335
Phone: (818) 886-6700
Fax: (818) 886-6709

The provider's authorized official is Sanjay Logani .
The authorized official title is President and has the following contact phone number (818) 886-6700.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 11/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPT015370TLGCALIFORNIANo
2207W00000XOphthalmologyG73456CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0102222MEDICAIDCALIFORNIA
2GR0102223MEDICAIDCALIFORNIA
3W17390MEDICARE PINCALIFORNIA
4W17390BMEDICARE PINCALIFORNIA
5GR0102220MEDICAIDCALIFORNIA
6GR0102221MEDICAIDCALIFORNIA
7W17390AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.