Individual provider Active NPI

Umangi P Popat, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1114125085
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13335 Issued in CA
Practice address
8471 Beverly Blvd
Suite 105
Los Angeles, CA 90048-3450
Phone
(310) 360-8220
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13335 CA Primary
Optometrist 152W00000X 007259 NY

Addresses

Primary practice location

8471 Beverly Blvd
Suite 105
Los Angeles, CA 90048-3450

Mailing address

8471 Beverly Blvd
Suite 105
Los Angeles, CA 90048-3450
Phone (310) 360-8220

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
I20220715002513 CA Practitioner - Optometry 2769567577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 101
Los Angeles, CA 90027-6061
Phone (323) 644-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13335CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Feb 1, 2023 Accepting new patients
Gracelight Community Health CurrentSince Feb 1, 2023 Accepting new patients
Cha Medical and Surgical Group, PC CurrentSince Aug 1, 2022 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1114125085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8471 BEVERLY BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483450",
            "telephone_number": "310-360-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8471 BEVERLY BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483450",
            "telephone_number": "310-360-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPAT",
        "first_name": "UMANGI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13335",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.