Active NPI
Aida Amin
- Optometrist
- Encino, CA
National Provider Identifier
1154970614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34387TLG
- Practice address
- 5363 Balboa Blvd Ste 141
Encino, CA 91316-2821 - Phone
- (818) 728-0440
- NPI assigned
- Sep 8, 2019
- 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 | 34387TLG | CA | Primary |
Addresses
Primary practice location
5363 Balboa Blvd Ste 141
Encino, CA 91316-2821
Mailing address
PO Box 18331
Encino, CA 91416-8331
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34387TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Eye Center Inc | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1154970614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18331",
"city": "ENCINO",
"state": "CA",
"postal_code": "914168331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD STE 141",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162821",
"telephone_number": "818-728-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "AIDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34387TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Ami/Hti Tarzana Encino Joint Venture (Encino-Tarzana Regional Medical Ctr-Encino)
- Ami/Hti Tarzana Encino Joint Venture (Encino-Tarzana Regional Medical Ctr-Encino)
- Ami/Hti Tarzana Encino Joint Venture (Encino-Tarzana Regional Medical Ctr-Encino)
- Amica Hospice Care, Inc.
- Rona Amichai
- Amir Friedman MD PC
- Amir H Assefnia DDS MDS Ms Inc
- Amir H. Jamsheed, Professional Dental Corp. (Encino Dental Studio)
- Amir Rowshanrad MD Inc
- Soheil Amirmoazzami, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.