Individual provider Active NPI

Arsineh Amirkhanian, OD

  • Optometrist
  • Ontario, CA
National Provider Identifier
1043839897
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34565 Issued in CA
Practice address
3155D Sedona CT, Ste 100
Ontario, CA 91764
Phone
(909) 698-9780
NPI assigned
Apr 12, 2020
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Optometrist 152W00000X 34565 CA Primary

Addresses

Primary practice location

3155D Sedona CT, Ste 100
Ontario, CA 91764

Mailing address

613 E Verdugo Ave Apt 204
Burbank, CA 91501-3120
Phone (818) 281-9338

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
I20230615002965 CA Practitioner - Optometry 8921466491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1555 S Garey Ave
Pomona, CA 91766-5222
Phone (626) 919-4333

420 S Glendora Ave
West Covina, CA 91790-3001
Phone 6269194333259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34565CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince May 1, 2023 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Apr 11, 2025 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Apr 11, 2025 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince May 1, 2023 Accepting new patients

Locations

3155 Sedona Ct
Ste 100
Ontario, CA 91764
Phone (909) 605-1975

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arsineh.amirkhanian.p1@direct.evchc.nextgenshare.com

Organizations & group practices 4

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1043839897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E VERDUGO AVE APT 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013120",
            "telephone_number": "818-281-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155D SEDONA CT, STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-698-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRKHANIAN",
        "first_name": "ARSINEH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.