Individual provider Active NPI

Becky Fartash, OD

  • Optometrist
  • Corona, CA
National Provider Identifier
1225197163
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7415T Issued in CA
Practice address
734 N Main St
Corona, CA 92880
Phone
(951) 737-2020
Fax
(951) 737-2072
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7415T CA Primary

Addresses

Primary practice location

734 N Main St
Corona, CA 92880

Mailing address

734 N Main St
Corona, CA 92880
Phone (951) 737-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0074150MedicaidCA

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

LicenseStateTypeSpecialty
7415TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fartash OD Inc Optometrist PastSince Jul 1, 2020 Accepting new patients
William Rogoway OD Optometrist PastSince Nov 20, 2001 Accepting new patients

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1225197163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-737-2020",
            "fax_number": "951-737-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-737-2020",
            "fax_number": "951-737-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARTASH",
        "first_name": "BECKY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7415T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0074150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.