Individual provider Active NPI

Elham Zarabian, O.D.

  • Optometrist
  • N Hollywood, CA
National Provider Identifier
1417034828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11991 T Issued in CA
Practice address
6801 Coldwater Canyon Ave
N Hollywood, CA 91605-5162
Phone
(818) 764-7047
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11991 T CA Primary

Addresses

Primary practice location

6801 Coldwater Canyon Ave
N Hollywood, CA 91605-5162

Mailing address

306 N Palm Dr
Beverly Hills, CA 90210-4919
Phone (310) 666-8726

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
I20070626000675 CA Practitioner - Optometry 1951400365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Community HealthcareGroup PAC ID 4284601824, 23 clinicians

Practice addresses (Care Compare)

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 301-6307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11991 TCAMDOptometrist
11991CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyemax Vision Plan Inc Optometrist Current Accepting new patients
Valley Community Healthcare CurrentSince Dec 24, 2009 Accepting new patients
Valley Community Healthcare CurrentSince Dec 24, 2009 Accepting new patients

Locations

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417034828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N PALM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104919",
            "telephone_number": "310-666-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055162",
            "telephone_number": "818-764-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARABIAN",
        "first_name": "ELHAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11991 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Hollywood, CA

Sources for this page

Verify at the official NPI Registry.