ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC
NPI 1730292541
Ophthalmology in Reseda, CA

Active since August 16, 2006CLIA 05D2131370 · Waiver
17750 SHERMAN WAY, SUITE 100, RESEDA, CA 91335(818) 886-6700(818) 886-6709 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2017, Jul 27, 2017 (2 updates tracked since 2017).

About Advanced Retina Associates Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC (NPI 1730292541) is a healthcare organization registered as an ophthalmology in Reseda, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Sanjay Logani, President, as its authorized official.

NPPES Registry Identity

NPI1730292541
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC
Location Address17750 SHERMAN WAY, SUITE 100Reseda, CA 91335
Mailing Address17750 Sherman Way, Suite 100Reseda, CA 91335 · (818) 886-6700 · Fax (818) 886-6709
Fax(818) 886-6709
Organization SubpartNo
Authorized OfficialSanjay LoganiPresident · (818) 886-6700
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration
✔ NPI 1730292541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G73456
Definition
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.
Also ListedOptometristTaxonomy 152W00000X · License OPT015370TLG (CA)
17750 SHERMAN WAY, SUITE 100, Reseda, CA 91335

Other Identifiers 7

MedicaidGR0102222CA
MedicaidGR0102223CA
Medicare PINW17390CA
Medicare PINW17390BCA
MedicaidGR0102220CA
MedicaidGR0102221CA
Medicare PINW17390ACA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Retina Associates Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Retina Associates Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1124131958
17750 SHERMAN WAY SUITE 100
Reseda, CA 91335
(818) 886-6700
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1043564362
20165 RINALDI ST STE 150
Porter Ranch, CA 91326
(818) 900-5650
✔ PECOS✔ Accepts Medicare5.9 mi
Ophthalmology
NPI 1578981395
200 STEIN PLAZA 1-340
Los Angeles, CA 90095
(626) 817-4747
✔ PECOS✔ Accepts Medicare10 mi
Ophthalmology
NPI 1639499718
22525 MAPLE AVE SUITE, 100
Torrance, CA 90505
(310) 803-9633
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2131370

Advanced Retina Associates Med. Group · Reseda, CA
Active · expires May 25, 2027
CLIA Number05D2131370
Laboratory TypePractitioner Other
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorSanjay Logani, MD
Laboratory Phone(818) 886-6700
Laboratory LocationAdvanced Retina Associates Med. Group17750 Sherman Way Ste 100, Reseda, CA 91335
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Retina Associates Medical Group, Inc's NPI number?

The NPI number for Advanced Retina Associates Medical Group, Inc is 1730292541. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Advanced Retina Associates Medical Group, Inc located?

Advanced Retina Associates Medical Group, Inc is located at 17750 Sherman Way, Suite 100, Reseda, CA 91335. The listed phone number is (818) 886-6700.

What is Advanced Retina Associates Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Advanced Retina Associates Medical Group, Inc enrolled in Medicare?

Yes. Advanced Retina Associates Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Retina Associates Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Retina Associates Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Retina Associates Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2131370) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Retina Associates Medical Group, Inc was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.