Mariam Khalid, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34818TLG Issued in CA

Practice address

11151 Tampa Ave
Northridge, CA 91326-2254

Phone

(818) 366-9664

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carol Aivazian O D Optometric Corporation

  • Optometrist
  • Chatsworth, CA
  • NPI 1083145957
  Medicare reassignment NPD
• Carol Aivazian Opt D Professional Corp

  • Optometrist
  • Valencia, CA
  • NPI 1518089663
  Medicare reassignment NPD
• Michael V. Terzian, O.D., a Professional Corporation

  • Optometrist
  • Northridge, CA
  • NPI 1336496587
  NPD (past)
• Bruce R Wojciechowski

  • Optometrist
  • Clackamas, OR
  • NPI 1699976530
  NPD (past)
• Northwest Eye Care LLC

  • Optometrist
  • Clackamas, OR
  • NPI 1669856902
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1083271027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 EASTHAVEN LN",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071256",
            "telephone_number": "818-439-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-366-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15259 SE 82nd Dr # 101",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156609",
            "country_code": "US",
            "telephone_number": "503-657-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9911 Topanga Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913113602",
            "country_code": "US",
            "telephone_number": "818-678-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34818TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4456AT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abdul Musawwir Khan
• Arshad Khan, M.D.
• Irfan Ali Khan, M.D.
• Maher Khan, M.D.
• Riffat Khan

• Optometrist in Northridge, CA
• Providers in Northridge, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.