Individual provider Active NPI

Osama Gayed

  • Optician
  • Long Beach, CA
National Provider Identifier
1295864890
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6215 Issued in CA
Practice address
500 W Willow St.
Suite # 7
Long Beach, CA 90806-2831
Phone
(562) 427-5527
Fax
(562) 989-1557
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 6215 CA Primary

Addresses

Primary practice location

500 W Willow St.
Suite # 7
Long Beach, CA 90806-2831

Mailing address

500 W Willow St
Suite # 7
Long Beach, CA 90806-2831
Phone (562) 427-5527

Other identifiers 1

IdentifierTypeStateIssuer
DX006005FMedicaidCA

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
6215CAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1295864890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST",
            "address_2": "SUITE # 7",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-427-5527",
            "fax_number": "562-989-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST.",
            "address_2": "SUITE # 7",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-427-5527",
            "fax_number": "562-989-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYED",
        "first_name": "OSAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX006005F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.