Organization Active NPI

Faro Optometry

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1194181248
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11257 TLG Issued in CA
Legal business name
FARO OPTOMETRY
Practice address
4433 S Alameda St
Suite C12
Los Angeles, CA 90058-2008
Phone
(323) 988-1033
Fax
(888) 260-4874
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Ali A Mohebbi, OD
Title
Owner
Phone
(323) 988-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11257 TLG CA Primary

Addresses

Primary practice location

4433 S Alameda St
Suite C12
Los Angeles, CA 90058-2008

Mailing address

4433 S Alameda St
Suite C12
Los Angeles, CA 90058-2008
Phone (323) 988-1033

Other identifiers 1

IdentifierTypeStateIssuer
SD011257CAMedicaidCA

National Provider Directory

National Provider Directory

Locations

4433 S Alameda St
Ste C12
Los Angeles, CA 90058
Phone (323) 988-1033

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1194181248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 S ALAMEDA ST",
            "address_2": "SUITE C12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900582008",
            "telephone_number": "323-988-1033",
            "fax_number": "888-260-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 S ALAMEDA ST",
            "address_2": "SUITE C12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900582008",
            "telephone_number": "323-988-1033",
            "fax_number": "888-260-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARO OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "MOHEBBI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-988-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11257 TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD011257CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.