Individual provider Active NPI

Sara Kaz, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1487087474
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14740 Issued in CA
Practice address
10250 Santa Monica Blvd
#26
Los Angeles, CA 90067-6501
Phone
(310) 552-8045
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14740 CA Primary

Addresses

Primary practice location

10250 Santa Monica Blvd
#26
Los Angeles, CA 90067-6501

Mailing address

12217 Morrison St
Valley Village, CA 91607-3626
Phone (818) 304-6946

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
I20190107002295 CA Practitioner - Optometry 6800132259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thousand Oaks Family OptometryGroup PAC ID 5395008510, 4 clinicians

Practice addresses (Care Compare)

518 N Moorpark Rd
Thousand Oaks, CA 91360-3703
Phone (805) 373-9911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thousand Oaks Family Optometry Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

518 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 373-0599

Organizations & group practices 1

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1487087474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 MORRISON ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073626",
            "telephone_number": "818-304-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SANTA MONICA BLVD",
            "address_2": "#26",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676501",
            "telephone_number": "310-552-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZ",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.