Individual provider Active NPI

Sheila Tehrani, O.D.

  • Optometrist
  • Palmdale, CA
National Provider Identifier
1073814976
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14082 Issued in CA
Practice address
2720 E Palmdale Blvd Ste 133
Palmdale, CA 93550-4930
Phone
(661) 267-0026
NPI assigned
Nov 9, 2010
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14082 CA Primary

Addresses

Primary practice location

2720 E Palmdale Blvd Ste 133
Palmdale, CA 93550-4930

Mailing address

1815 Holmby Ave Apt 202
Los Angeles, CA 90025-4981
Phone (817) 296-1210

Other identifiers 1

IdentifierTypeStateIssuer
1073814976OtherNPI: 1073814976

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
I20141230002712 CA Practitioner - Optometry 8325361173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14082CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Corben Optometry Inc Optometrist CurrentSince Sep 16, 2014 Accepting new patients
Doctors Matthew Alpert and Joshua Corben Optometric Corp Optometrist PastSince Aug 25, 2019 Accepting new patients

Locations

23206 Lyons Ave
Ste 102
Newhall, CA 91321
Phone (661) 259-2168

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1073814976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HOLMBY AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254981",
            "telephone_number": "817-296-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E PALMDALE BLVD STE 133",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504930",
            "telephone_number": "661-267-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI: 1073814976",
            "identifier": "1073814976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.