Individual provider Active NPI

Nane Ghazaryan

  • Optometrist
  • Glendale, CA
National Provider Identifier
1316830185
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35955 Issued in CA
Practice address
1901 Broadview Dr
Glendale, CA 91208-1201
Phone
(818) 369-7787
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35955 CA Primary

Addresses

Primary practice location

1901 Broadview Dr
Glendale, CA 91208-1201

Mailing address

10440 Plainview Ave
Tujunga, CA 91042-1716
Phone (323) 533-0756

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
I20260501000397 CA Practitioner - Optometry 7214404805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10440 Plainview Ave
Tujunga, CA 91042-1716

3333 Quality Dr
Rancho Cordova, CA 95670-7986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35955CAMDPsychologist

Organizations & group practices 1

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": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1316830185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 PLAINVIEW AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421716",
            "telephone_number": "323-533-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BROADVIEW DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081201",
            "telephone_number": "818-369-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARYAN",
        "first_name": "NANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.