Individual provider Active NPI

Taleb Alsafi, OD

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1467296186
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35760 Issued in CA
Practice address
78560 Highway 111
La Quinta, CA 92253-2067
Phone
(760) 564-3887
NPI assigned
Jun 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35760 CA Primary

Addresses

Primary practice location

78560 Highway 111
La Quinta, CA 92253-2067

Mailing address

976 N Turner Ave Apt 108
Ontario, CA 91764-5328
Phone (419) 480-7700

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
I20240725001553 CA Practitioner - Optometry 9830635945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milauskas Eye Institute Medical Group II, Inc.Group PAC ID 8224075585, 10 clinicians

Practice addresses (Care Compare)

72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791
Phone (760) 340-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35760CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milauskas Eye Institute Medical Group II Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Optometrist PastSince Jun 23, 2024 Accepting new patients

Locations

78560 Highway 111
La Quinta, CA 92253
Phone (760) 564-3887

41990 Cook St
Ste 502
Palm Desert, CA 92211
Phone (760) 340-3937

72057 Dinah Shore Dr
Ste D
Rancho Mirage, CA 92270
Phone (760) 340-3937

Interoperability endpoints

  • Direct secure messaging: taleb.alsafiod.p1@direct.milauskas.nextgenshare.com

Organizations & group practices 3

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1467296186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 N TURNER AVE APT 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645328",
            "telephone_number": "419-480-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78560 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532067",
            "telephone_number": "760-564-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAFI",
        "first_name": "TALEB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.