Individual provider Active NPI

Nanar Hovasapian, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1104239144
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14958 Issued in CA
Practice address
1808 Verdugo Blvd Ste 103
Glendale, CA 91208-1482
Phone
(310) 906-0393
NPI assigned
Jun 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14958 CA Primary

Addresses

Primary practice location

1808 Verdugo Blvd Ste 103
Glendale, CA 91208-1482

Mailing address

PO Box 5861
Glendale, CA 91221-5861
Phone (310) 906-0393

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
I20160210002582 CA Practitioner - Optometry 3678877792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 Verdugo Blvd
Suite 103
Glendale, CA 91208-1482
Phone (310) 906-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14958CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 14, 2016 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
David J Fuerst MD Inc CurrentSince May 9, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 14, 2016 Accepting new patients

Locations

1808 Verdugo Blvd
Ste 103
Glendale, CA 91208
Phone (818) 790-0702

43112 15th St W
Lancaster, CA 93534
Phone (661) 726-2222

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Organizations & group practices 6

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": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1104239144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5861",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912215861",
            "telephone_number": "310-906-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081482",
            "telephone_number": "310-906-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVASAPIAN",
        "first_name": "NANAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.