Active NPI
Almar Vista Inc
- Optometrist
- Gardena, CA
National Provider Identifier
1457519100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP9919T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Hoa Nguyen, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD099190 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Gardena, CA
- NPI 1376685958
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.