Active NPI
Samand Sebghati, O.D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1124455639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4811
- Practice address
- 1600 Expo Parkway
Sacramento, CA 95815 - Phone
- (916) 922-2100
- NPI assigned
- Sep 28, 2013
- 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 | OPC4811 | FL | Primary |
Addresses
Primary practice location
1600 Expo Parkway
Sacramento, CA 95815
Mailing address
1600 Expo Parkway
Sacramento, CA 95815
Phone (513) 417-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 S 336TH St
Federal Way, WA 98003-6350
Phone (253) 835-7433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4811 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Provider Enterprise LLC | Optometrist | Current | Accepting new patients |
Locations
8500 W 110th St
Ste 260
Overland Park, KS 66210
Phone (941) 224-3674
2235 Lake Heights Dr
Everett, WA 98208
Phone (425) 332-4455
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
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": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1124455639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 EXPO PARKWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95815",
"telephone_number": "513-417-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EXPO PARKWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95815",
"telephone_number": "916-922-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBGHATI",
"first_name": "SAMAND",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-28",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.