Individual provider Active NPI

Arti Surendra Shah, OD

  • Corneal and Contact Management Optometrist
  • Cerritos, CA
National Provider Identifier
1083638944
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
006279 Issued in NY
Practice address
12727 Nottingham St
Cerritos, CA 90703-7275
Phone
(310) 966-7465
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X T11392 CA
Optometrist 152W00000X 006279 NY
Corneal and Contact Management Optometrist 152WC0802X 006279 NY Primary
Optometrist 152W00000X OPT11392 CA

Addresses

Primary practice location

12727 Nottingham St
Cerritos, CA 90703-7275

Mailing address

12727 Nottingham St
Cerritos, CA 90703-7275
Phone (310) 966-7465

Other identifiers 1

IdentifierTypeStateIssuer
SD0113920OtherCAMEDICAL PPIN #

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
I20081217000568 CA Practitioner - Optometry 9436159696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elander Eye Medical Group IncGroup PAC ID 3274577879, 5 clinicians

Practice addresses (Care Compare)

242 26TH St
Santa Monica, CA 90402-2524
Phone (310) 393-0634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11392CAMDChiropractor
OPT11392CAMDOptometrist
T11392CAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elander Eye Medical Group Inc CurrentSince May 27, 2008 Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients
Sheldon Rabin, M.D., P.C. Past Accepting new patients

Locations

242 26th St
Santa Monica, CA 90402
Phone (310) 393-0634

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083638944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 NOTTINGHAM ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037275",
            "telephone_number": "310-966-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 NOTTINGHAM ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037275",
            "telephone_number": "310-966-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ARTI",
        "middle_name": "SURENDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "T11392",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006279",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "006279",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "SD0113920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.