Active NPI
Serena M Hajati, O.D.
- Optometrist
- North Hollywood, CA
National Provider Identifier
1003931916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12443T
- Practice address
- 4444 Lankershim Blvd
Suite 206
North Hollywood, CA 91602-2346 - Phone
- (818) 762-7744
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12443T | CA | Primary |
Addresses
Primary practice location
4444 Lankershim Blvd
Suite 206
North Hollywood, CA 91602-2346
Mailing address
4008 Knobhill Dr.
Sherman Oaks, CA 91403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12443T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan M Berg MD Inc and Robert E Feinfield MD Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Burbank, CA
- NPI 1164567004
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003931916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 KNOBHILL DR.",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 LANKERSHIM BLVD",
"address_2": "SUITE 206",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022346",
"telephone_number": "818-762-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJATI",
"first_name": "SERENA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12443T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.