Ifrah Sheesfarooqui, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33572 TLG Issued in CA

Practice address

1142 W Redondo Beach Blvd
Gardena, CA 90247-3538

Phone

(310) 323-5095

NPI assigned

Jun 10, 2015

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paul T Urrea M D M P H Inc

  dba Soledad Eye Surgeons Medical Group

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1619074838

  Optometrist

  Medicare reassignment NPD
• Robert J Stahl & Amy J Calder, Ods - a Professional Corporation

  • Optometrist
  • Gardena, CA
  • NPI 1558496182
  NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1467833905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473538",
            "telephone_number": "310-323-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473538",
            "telephone_number": "310-323-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Cesar E Chavez Ave",
            "address_2": "St L300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900332424",
            "country_code": "US",
            "telephone_number": "323-980-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEESFAROOQUI",
        "first_name": "IFRAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2097",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33572 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alonzo James Sharp
• Breauna Shanel Sharp
• Natasha Montez Shaw-Clark
• Candace J. Shaw, PHARM D
• Destiny Shaw
• Danish Razi Sheikh
• Johnya Shelby Woodard
• Cyrene Sheley
• Penn Shelton, LCSW - 125557
• Xiaoxiong Shen, PH. D., LAC., PROF.

• Optometrist in Gardena, CA
• Providers in Gardena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.