Organization Active NPI

Armin Vishteh, M.D., P.C.

  • Ophthalmology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1053539908
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A69896 Issued in CA
Legal business name
ARMIN VISHTEH, M.D., P.C.
Practice address
7777 Milliken Ave
Ste.125
Rancho Cucamonga, CA 91730-6780
Phone
(909) 980-8010
Fax
(909) 980-8084
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Armin Vishteh, M.D.NPI 1114903317
Title
President
Phone
(909) 980-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A69896 CA Primary

Addresses

Primary practice location

7777 Milliken Ave
Ste.125
Rancho Cucamonga, CA 91730-6780

Mailing address

PO Box 25166
Los Angeles, CA 90025-0166
Phone (909) 980-8010

Other identifiers 1

IdentifierTypeStateIssuer
00A698960MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040712001025 CA Part B Supplier - Clinic/Group Practice 1254319635 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA; West Covina, CA; West Hollywood, CA
O20081218000589 CA Part B Supplier - Clinic/Group Practice 1254319635 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

240 S La Cienega Blvd
Beverly Hills, CA 90211
Phone (310) 289-6503

2211 W Magnolia Blvd
Ste 240
Burbank, CA 91506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1053539908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25166",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250166",
            "telephone_number": "909-980-8010",
            "fax_number": "909-980-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "STE.125",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-980-8010",
            "fax_number": "909-980-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMIN VISHTEH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "VISHTEH",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-980-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.