NPI 1609459239 · live from the CMS NPI Registry
Mohammad Pakravan, MD
Ophthalmology, Glaucoma Specialist in Loma Linda, CA. National Provider Identifier 1609459239, active.
NPI record
| NPI | 1609459239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Glaucoma Specialist 207WX0009X |
| Practice location | 11370 Anderson St # 1800, Loma Linda, CA 92354 |
| Practice phone | 909-558-2154 |
| Enumerated | May 2, 2021 |
| Last updated | September 1, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Glaucoma Specialist | 207WX0009X | SFP54 (CA) |
| Ophthalmology, Glaucoma Specialist primary | 207WX0009X | V5114 (TX) |
| Ophthalmology | 207W00000X | V5114 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.