Organization Active NPI

Almar Vista Inc

  • Optometrist
  • Gardena, CA
National Provider Identifier
1457519100
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP9919T Issued in CA
Legal business name
ALMAR VISTA INC
Practice address
14506 S Crenshaw Blvd
Gardena, CA 90249-3158
Phone
(310) 324-3139
Fax
(310) 324-7052
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Peter Hoa Nguyen, ODNPI 1376685958
Title
President
Phone
(310) 324-3139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP9919T CA Primary

Addresses

Primary practice location

14506 S Crenshaw Blvd
Gardena, CA 90249-3158

Mailing address

14506 Crenshaw Blvd
Gardena, CA 90249-3158
Phone (310) 324-3139

Other identifiers 1

IdentifierTypeStateIssuer
SD099190MedicaidCA

National Provider Directory

National Provider Directory

Locations

14506 Crenshaw Blvd
Gardena, CA 90249
Phone (310) 324-3139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1457519100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493158",
            "telephone_number": "310-324-3139",
            "fax_number": "310-324-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 S CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493158",
            "telephone_number": "310-324-3139",
            "fax_number": "310-324-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMAR VISTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-324-3139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP9919T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD099190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.