Active NPI
Shirin Hejazi Yousefi, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1083902118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14801TLG
- Practice address
- 8635 W 3Rd St
#360W
Los Angeles, CA 90048-6101 - Phone
- (310) 657-2777
- Fax
- (310) 657-0356
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14801TLG | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St
#360W
Los Angeles, CA 90048-6101
Mailing address
8635 W 3Rd St
#360W
Los Angeles, CA 90048-6101
Phone (310) 657-2777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7851 | TX | MD | Chiropractor |
| 14801TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1083902118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "#360W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-657-2777",
"fax_number": "310-657-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "#360W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-657-2777",
"fax_number": "310-657-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSEFI",
"first_name": "SHIRIN",
"middle_name": "HEJAZI",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14801TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Your True Self Family Therapy (True Self Practice)
- Madona Yousef, RDH
- Sebat Yousef
- Yousefi, Rodef & Yaghoubi Dental Corporation (Children's Dental Fun Zone)
- Shay Shayesteh Yousefi, RN
- Yousefpour Makabis DPM PC (Omega Podiatry)
- Abdollah Yousefzadeh
- Fereshteh Yousefzadeh, DDS, MSD, INC
- Kourosh Kalimi Yousefzadeh, DDS
- Farbod Youshei
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.