Active NPI
Nasim Pedarsani, OD
- Optometrist
- Santa Clarita, CA
National Provider Identifier
1306916978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13424T
- Practice address
- 18649 Via Princessa
Santa Clarita, CA 91387-4935 - Phone
- (773) 459-6192
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13424T | CA | Primary |
Addresses
Primary practice location
18649 Via Princessa
Santa Clarita, CA 91387-4935
Mailing address
18649 Via Princessa
Santa Clarita, CA 91387-4935
Phone (773) 459-6192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13424T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1306916978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18649 VIA PRINCESSA",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913874935",
"telephone_number": "773-459-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18649 VIA PRINCESSA",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913874935",
"telephone_number": "773-459-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDARSANI",
"first_name": "NASIM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13424T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.