Individual provider Active NPI

Danitra Davood

  • Optometrist
  • Santa Clarita, CA
National Provider Identifier
1346043411
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35988 Issued in CA
Practice address
26506 Bouquet Canyon Rd
Santa Clarita, CA 91350-2353
Phone
(661) 297-2020
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 35988 CA Primary

Addresses

Primary practice location

26506 Bouquet Canyon Rd
Santa Clarita, CA 91350-2353

Mailing address

19717 Edmonds PL
Santa Clarita, CA 91350-1996
Phone (661) 904-0853

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
I20250620003099 CA Practitioner - Optometry 1254843774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vision Center an Optometric Practice IncorporatedGroup PAC ID 1658315635, 3 clinicians

Practice addresses (Care Compare)

26506 Bouquet Canyon Rd
Saugus, CA 91350-2353
Phone (661) 297-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Vision Center an Optometric Practice Incorporated Optometrist CurrentSince Jun 9, 2025 Accepting new patients
Ellen Shuham OD Inc Optometrist PastSince Apr 1, 2025 Accepting new patients

Locations

26506 Bouquet Canyon Rd
Saugus, CA 91350
Phone (661) 297-2020

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1346043411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19717 EDMONDS PL",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501996",
            "telephone_number": "661-904-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26506 BOUQUET CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502353",
            "telephone_number": "661-297-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOOD",
        "first_name": "DANITRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.