Organization Active NPI

Beyond Vision Med Group Inc

  • Optometrist
  • Sun Valley, CA
National Provider Identifier
1124798954
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BEYOND VISION MED GROUP INC
Practice address
8730 Glenoaks Blvd # 6
Sun Valley, CA 91352-2801
Phone
(818) 960-7171
Fax
(818) 960-7177
NPI assigned
Sep 14, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Hamlet Minasvand, MDNPI 1982885273
Title
President
Phone
(818) 960-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

8730 Glenoaks Blvd # 6
Sun Valley, CA 91352-2801

Mailing address

8730 Glenoaks Blvd # 6
Sun Valley, CA 91352-2801
Phone (818) 960-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211027002722 CA Part B Supplier - Clinic/Group Practice 2769870542 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

National Provider Directory

National Provider Directory

Locations

1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003

8730 Glenoaks Blvd
#6
Sun Valley, CA 91352
Phone (818) 960-7171

8730 Glenoaks Blvd
Ste 6
Sun Valley, CA 91352
Phone (818) 439-2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1124798954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD # 6",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-960-7171",
            "fax_number": "818-960-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD # 6",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-960-7171",
            "fax_number": "818-960-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND VISION MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MINASVAND",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-960-7177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.