Individual provider Active NPI

Arash Arun Sadeghian, O.D.

  • Optometrist
  • Corona, CA
National Provider Identifier
1447392246
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12354T Issued in CA
Practice address
1501 Rimpau Ave
Suite B-104
Corona, CA 92881-3225
Phone
(951) 898-2010
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12354T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 12354T CA
Low Vision Rehabilitation Optometrist 152WL0500X 12354T CA
Pediatric Optometrist 152WP0200X 12354T CA

Addresses

Primary practice location

1501 Rimpau Ave
Suite B-104
Corona, CA 92881-3225

Mailing address

1501 Rimpau Ave
Suite B-104
Corona, CA 92881-3225
Phone (951) 898-2010

Other identifiers 1

IdentifierTypeStateIssuer
ER708AOtherCAGROUP PTAN

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
I20080125000473 CA Practitioner - Optometry 5294817532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Rimpau Ave
Suite B104
Corona, CA 92881-3225
Phone (909) 374-8125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12354TCAMDPediatric Optometrist

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1447392246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RIMPAU AVE",
            "address_2": "SUITE B-104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813225",
            "telephone_number": "951-898-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIMPAU AVE",
            "address_2": "SUITE B-104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813225",
            "telephone_number": "951-898-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHIAN",
        "first_name": "ARASH",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12354T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12354T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "12354T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "12354T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ER708A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.