Individual provider Active NPI

Zarine Gabrielyan, OD

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1083182398
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34133TLG Issued in CA
Practice address
288 N. Santa Anita Ave
403
Arcadia, CA 91006-3110
Phone
(626) 574-0009
Fax
(626) 574-0488
NPI assigned
Nov 5, 2018
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 34133TLG CA
Pediatric Optometrist 152WP0200X 34133TLG CA
Optometrist 152W00000X 34133TLG CA Primary

Addresses

Primary practice location

288 N. Santa Anita Ave
403
Arcadia, CA 91006-3110

Mailing address

907 Bethany Rd
Burbank, CA 91504-3012
Phone (323) 445-6080

Other practice location 1

907 Bethany Rd
Burbank, CA 91504-3012
Phone (323) 445-6080

Other practice location 2

5400 Balboa Blvd Ste 222
Encino, CA 91316-5211
Phone (800) 898-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34133TLGCAMDPediatric Optometrist
34133CAMDSpeech-Language Pathologist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1083182398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BETHANY RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043012",
            "telephone_number": "323-445-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N. SANTA ANITA AVE",
            "address_2": "403",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063110",
            "telephone_number": "626-574-0009",
            "fax_number": "626-574-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Bethany Rd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915043012",
            "country_code": "US",
            "telephone_number": "323-445-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Balboa Blvd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165211",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIELYAN",
        "first_name": "ZARINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "34133TLG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "34133TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34133TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.