Active NPI
Farzaneh Moin
- Optometrist
- Irvine, CA
National Provider Identifier
1144602426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15422
- Practice address
- 5319 University Dr # 124
Irvine, CA 92612-2965 - Phone
- (949) 486-9075
- NPI assigned
- Jun 23, 2015
- 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 | 15422 | CA | Primary |
Addresses
Primary practice location
5319 University Dr # 124
Irvine, CA 92612-2965
Mailing address
5319 University Dr # 124
Irvine, CA 92612-2965
Phone (949) 486-9075
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2808
Phone (949) 489-2218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15422 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Center LP | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Interoperability endpoints
- farzaneh.moin.p1@direct.tayani.nextgenshare.com
Organizations & group practices 3
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.
-
dba Tayani Eye Institute
- Ophthalmology Physician
- San Clemente, CA
- NPI 1841465986
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Primary Care Clinic/Center
- Santa Ana, CA
- NPI 1942503933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1144602426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 UNIVERSITY DR # 124",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122965",
"telephone_number": "949-486-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 UNIVERSITY DR # 124",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122965",
"telephone_number": "949-486-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOIN",
"first_name": "FARZANEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.