Hetavi Patel

Primary specialty

OptometristTaxonomy code 152W00000X

License

35849 Issued in CA

Practice address

17283 Ventura Blvd
Encino, CA 91316-4007

Phone

(818) 990-0300

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Ardaya & Lin Optometry Inc

  • Optometrist
  • Whittier, CA
  • NPI 1962764340
  Medicare reassignment NPD
• Mary Demirjian, O.D., Inc.

  • Optometrist
  • Encino, CA
  • NPI 1366744856
  Medicare reassignment NPD
• Paul J Super OD a Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1457681371
  NPD
• Allen B. Yeroushalmi, M.D., P.C.

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1245740711
  NPD (past)
• Sheldon M. Golden OD Optometric Corporation

  dba Golden Optometric Group

  • Optometrist
  • Whittier, CA
  • NPI 1326089764
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1346061918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20811 LASSEN ST APT 6",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114513",
            "telephone_number": "747-244-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17283 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164007",
            "telephone_number": "818-990-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETAVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Joseph Paster, M.D.
• Janis R Paster, MFT
• Rebecca Pasternak
• Pat Moore Detox, LLC
• Radu Patac
• Path to Healing
• Pathway Professionals Program
• Cecilia Patino, NP
• Norma P Patino, MS
• Patrick J. Cannon, MD Facs a Medical Corporation

• Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.