Individual provider Active NPI

Razmig Knajian, O.D

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1104239078
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10648 Issued in CA
Practice address
35875 Warm Springs Pkwy
Murrieta, CA 92563-4538
Phone
(949) 220-6390
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10648 CA Primary

Addresses

Primary practice location

35875 Warm Springs Pkwy
Murrieta, CA 92563-4538

Mailing address

18052 Culver Dr
Irvine, CA 92612-2730
Phone (949) 502-0123

Other practice location 1

18052 Culver Dr
Irvine, CA 92612-2730
Phone (949) 502-0123

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
I20170301002219 CA Practitioner - Optometry 3779867684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10648CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Veh Optometry Professional Corporation Optometrist CurrentSince Sep 21, 2022 Accepting new patients

Locations

35875 Warm Springs Pkwy
Murrieta, CA 92563
Phone (951) 223-4849

Organizations & group practices 1

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": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1104239078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18052 CULVER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122730",
            "telephone_number": "949-502-0123",
            "fax_number": "949-502-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35875 WARM SPRINGS PKWY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634538",
            "telephone_number": "949-220-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18052 Culver Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926122730",
            "country_code": "US",
            "telephone_number": "949-502-0123",
            "fax_number": "949-502-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAJIAN",
        "first_name": "RAZMIG",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.