Individual provider Active NPI

Jeffrey L Taranto, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1285798504
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14381 Issued in CA
Practice address
621 S Western Ave Ste 214
Los Angeles, CA 90005-3042
Phone
(213) 389-1001
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007083 NY
Optometrist 152W00000X 14381 CA Primary

Addresses

Primary practice location

621 S Western Ave Ste 214
Los Angeles, CA 90005-3042

Mailing address

1626 Malcolm Ave Apt 304
Los Angeles, CA 90024-7830
Phone (954) 303-1882

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007083NYMDOptometrist
14381CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boaz Eyewear Opt,Inc CurrentSince Jun 4, 2023 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

621 S Western Ave
Ste 214
Los Angeles, CA 90005
Phone (213) 389-1001

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1285798504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MALCOLM AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900247830",
            "telephone_number": "954-303-1882",
            "fax_number": "818-530-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S WESTERN AVE STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053042",
            "telephone_number": "213-389-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTO",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007083",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 31, 2023; 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.