Individual provider Active NPI

Alan Andrew Arabi, O.D.

  • Optometrist
  • Corona, CA
National Provider Identifier
1487095394
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14646 Issued in CA
Practice address
2205 Vesper Cir Ste 104
Corona, CA 92879-3501
Phone
(951) 520-1212
Fax
(951) 520-1297
NPI assigned
Jul 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14646 CA Primary

Addresses

Primary practice location

2205 Vesper Cir Ste 104
Corona, CA 92879-3501

Mailing address

2205 Vesper Cir Ste 104
Corona, CA 92879-3501
Phone (951) 314-8757

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
I20150804004724 CA Practitioner - Optometry 1153635107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan Arabi OD IncGroup PAC ID 1153612163, 3 clinicians

Practice addresses (Care Compare)

2205 Vesper Cir
Suite 104
Corona, CA 92879-3501
Phone (951) 520-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dena M. Mintz, O.D., a Professional Corporation Optometrist CurrentSince Apr 23, 2016 Accepting new patients

Locations

800 Magnolia Ave
Ste 113
Corona, CA 92879
Phone (951) 520-9392

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1487095394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-314-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-520-1212",
            "fax_number": "951-520-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARABI",
        "first_name": "ALAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.