Individual provider Active NPI

Aliona Radzinsky, B.S., O.D.

  • Optometrist
  • Sherman Oaks, CA
National Provider Identifier
1245647221
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15069 Issued in CA
Practice address
14006 Riverside Dr
Ste 274
Sherman Oaks, CA 91423-1963
Phone
(816) 461-0595
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15069 CA Primary

Addresses

Primary practice location

14006 Riverside Dr
Ste 274
Sherman Oaks, CA 91423-1963

Mailing address

14006 Riverside Dr
Ste 274
Sherman Oaks, CA 91423-1963
Phone (818) 461-0595

Other identifiers 1

IdentifierTypeStateIssuer
OPT15069TLGOtherCACALIFORIA LICENSE

Other names 1

  • Dr. Aliona Pitchkar Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000037 CA Practitioner - Optometry 5294053229

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17840 Margate St
Encino, CA 91316-2223

3713 Royal Woods Dr
Sherman Oaks, CA 91403-4217

7080 Red Fox LN
Cumming, GA 30040-6631

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
15069CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1245647221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR",
            "address_2": "STE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231963",
            "telephone_number": "818-461-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR",
            "address_2": "STE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231963",
            "telephone_number": "816-461-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZINSKY",
        "first_name": "ALIONA",
        "name_prefix": "Dr.",
        "credential": "B.S., O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORIA LICENSE",
            "identifier": "OPT15069TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIONA",
            "last_name": "PITCHKAR",
            "prefix": "DR.",
            "credential": "B.S., O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.