Individual provider Active NPI

Talin Amadian, OD

  • Optometrist
  • Valley Village, CA
National Provider Identifier
1043796147
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33983TLG Issued in CA
Practice address
12139 Riverside Dr
Valley Village, CA 91607-3832
Phone
(818) 763-2331
NPI assigned
Jul 12, 2018
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33983TLG CA Primary

Addresses

Primary practice location

12139 Riverside Dr
Valley Village, CA 91607-3832

Mailing address

PO Box 5956
Glendale, CA 91221-5956
Phone (818) 331-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613002219 CA Practitioner - Optometry 9830422427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16055 Ventura Blvd
Suite 690
Encino, CA 91436-2631
Phone (818) 789-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33983TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren J Reingold, MD, AMC CurrentSince Apr 17, 2019 Accepting new patients

Locations

12139 Riverside Dr
Valley Vlg, CA 91607
Phone (818) 763-3937

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1043796147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5956",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912215956",
            "telephone_number": "818-331-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073832",
            "telephone_number": "818-763-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADIAN",
        "first_name": "TALIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33983TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.