Active NPI
Garineh Martirossian Nersisyan, O.D
- Optometrist
- Calabasas, CA
National Provider Identifier
1396058129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13970
- Practice address
- 4783 Commons Way
Suite C
Calabasas, CA 91302-3368 - Phone
- (818) 222-9465
- Fax
- (818) 222-9468
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 13970 | CA | Primary |
Addresses
Primary practice location
4783 Commons Way
Suite C
Calabasas, CA 91302-3368
Mailing address
4783 Commons Way
Suite C
Calabasas, CA 91302-3368
Phone (818) 222-9465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12142483 | Other | CA | CAQH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24305 Town Ctr Dr
Suite 160
Valencia, CA 91355-1347
Phone (661) 799-7464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13970 | CA | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Garineh M. Nersisyan, O.D., a Professional Optometric Corporation | Optometrist | Current | Accepting new patients |
Locations
24305 Town Center Dr
Ste 160
Valencia, CA 91355
Phone (661) 799-7464
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.
-
- Optometrist
- Valencia, CA
- NPI 1790433092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1396058129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4783 COMMONS WAY",
"address_2": "SUITE C",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023368",
"telephone_number": "818-222-9465",
"fax_number": "818-222-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4783 COMMONS WAY",
"address_2": "SUITE C",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023368",
"telephone_number": "818-222-9465",
"fax_number": "818-222-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERSISYAN",
"first_name": "GARINEH",
"middle_name": "MARTIROSSIAN",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12142483",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.