Active NPI
Talin Amadian, OD
- Optometrist
- Valley Village, CA
National Provider Identifier
1043796147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33983TLG
- Practice address
- 12139 Riverside Dr
Valley Village, CA 91607-3832 - Phone
- (818) 763-2331
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190613002219 | CA | Practitioner - Optometry | 9830422427 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33983TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren J Reingold, MD, AMC | Current | Accepting new patients |
Locations
12139 Riverside Dr
Valley Vlg, CA 91607
Phone (818) 763-3937
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33983TLG | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12139 Riverside Dr
Valley Village, CA 91607-3832
Mailing address
PO Box 5956
Glendale, CA 91221-5956
Phone (818) 331-8925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2023.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.