Individual provider Active NPI

Haleh Guilak, O.D.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1346390481
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10491T Issued in CA
Practice address
32225 Temecula Pkwy
Temecula, CA 92592-6811
Phone
(951) 302-8062
Fax
(951) 303-9452
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10491T CA Primary

Addresses

Primary practice location

32225 Temecula Pkwy
Temecula, CA 92592-6811

Mailing address

32225 Temecula Pkwy
Temecula, CA 92592-6811
Phone (951) 302-8062

Other practice location 1

41200 Murrieta Hot Springs Rd
Murrieta, CA 92562-9479
Phone (951) 696-8258

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
I20041019000750 CA Practitioner - Optometry 5092776518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32225 Temecula Pkwy
Temecula, CA 92592-6811
Phone (951) 302-8062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10491TCAMDOptometrist
10491CAMDAdult Health Nurse Practitioner

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1346390481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32225 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926811",
            "telephone_number": "951-302-8062",
            "fax_number": "951-303-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32225 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926811",
            "telephone_number": "951-302-8062",
            "fax_number": "951-303-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41200 Murrieta Hot Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925629479",
            "country_code": "US",
            "telephone_number": "951-696-8258",
            "fax_number": "961-894-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILAK",
        "first_name": "HALEH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10491T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.