Individual provider Active NPI

Delfa Zaker Farley, DOCTOR OF OPTOMETRY

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1457981219
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34273TLG Issued in CA
Practice address
4340 Von Karman Ave
Ste 230
Newport Beach, CA 92660-1201
Phone
(310) 650-6560
NPI assigned
Jan 21, 2020
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34273TLG CA Primary

Addresses

Primary practice location

4340 Von Karman Ave
Ste 230
Newport Beach, CA 92660-1201

Mailing address

4340 Von Karman Ave
Ste 230
Newport Beach, CA 92660-1201
Phone (310) 650-6560

Other practice location 1

30 The Shops At Mission Viejo
Mission Viejo, CA 92691-6527
Phone (949) 364-4004

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
I20220701000991 CA Practitioner - Optometry 7810377223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4340 Von Karman Ave
Suite 230
Newport Beach, CA 92660-1201
Phone (310) 650-6560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34273CAMDGeneral Practice Dentistry
34273TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Delfa Zaker Farley OD Inc Optometrist CurrentSince Mar 14, 2022 Accepting new patients
A. Ebbie Soroudi, MD, Ms a Professional Medical Corporation PastSince Jun 5, 2022 Accepting new patients

Locations

4340 Von Karman Ave
Ste 230
Newport Beach, CA 92660
Phone (310) 474-2010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1457981219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 VON KARMAN AVE",
            "address_2": "STE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601201",
            "telephone_number": "310-650-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 VON KARMAN AVE",
            "address_2": "STE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601201",
            "telephone_number": "310-650-6560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 The Shops At Mission Viejo",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916527",
            "country_code": "US",
            "telephone_number": "949-364-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKER FARLEY",
        "first_name": "DELFA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34273TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.