Alexandria Eliza Pardo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34036TLG Issued in CA

Practice address

3115 Foothill Blvd Ste D
La Crescenta, CA 91214-4237

Phone

(818) 369-7787

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carol Aivazian O D Optometric Corporation

  • Optometrist
  • Chatsworth, CA
  • NPI 1083145957
  Medicare reassignment NPD
• Karine Shaghoyan Inc

  • Optometrist
  • Granada Hills, CA
  • NPI 1134697600
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1285281998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N NAOMI ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 FOOTHILL BLVD STE D",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144237",
            "telephone_number": "818-369-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23300 Cinema Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551776",
            "country_code": "US",
            "telephone_number": "661-287-3939",
            "fax_number": "661-287-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10605 Balboa Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913446344",
            "country_code": "US",
            "telephone_number": "818-368-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDO",
        "first_name": "ALEXANDRIA",
        "middle_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34036TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celine Annette Oghoubian
• Judy Ji Oh
• Elise Mae Ortega
• Paula Pack, PT, DPT
• Mary Panosian
• Cynthia Park
• Hannah J Park, DPT
• Mi Ran Park, ACUPUNCTURIST
• Yong J Park, O.D.
• Jazel Parkinson, PT, DPT

• Optometrist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.