Active NPI
Amanjot Sunner Basi, O.D.
- Optometrist
- Fullerton, CA
National Provider Identifier
1114201852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14285
- Practice address
- 2575 Yorba Linda Blvd
Fullerton, CA 92831-1615 - Phone
- (714) 449-7428
- Fax
- (714) 992-7846
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 14285 | CA | Primary |
Addresses
Primary practice location
2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Mailing address
2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone (714) 449-7428
Other names 1
- Amanjot Kaur Sunner
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1114201852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 YORBA LINDA BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311615",
"telephone_number": "714-449-7428",
"fax_number": "714-992-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 YORBA LINDA BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311615",
"telephone_number": "714-449-7428",
"fax_number": "714-992-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNNER BASI",
"first_name": "AMANJOT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANJOT",
"last_name": "SUNNER",
"middle_name": "KAUR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.