Individual provider Active NPI

Sahar Bardi

  • Optometrist
  • Manhattan Beach, CA
National Provider Identifier
1487428603
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35612 Issued in CA
Practice address
3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469
Phone
(310) 633-4569
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35612 CA Primary

Addresses

Primary practice location

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469

Mailing address

775 Napoli Dr
Pacific Palisades, CA 90272-4513

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
I20240905002410 CA Practitioner - Optometry 3577003524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anna M Pennino OD Optometric Corp Optometrist CurrentSince May 25, 2024 Accepting new patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince May 25, 2024 Accepting new patients
Sheldon M. Golden OD Optometric Corporation Optometrist Past Accepting new patients

Locations

3200 N Sepulveda Blvd
Ste E4
Manhattan Beach, CA 90266
Phone (310) 546-5568

8511 Pershing Dr
Playa del Rey, CA 90293
Phone (310) 577-6401

3329 Tweedy Blvd
South Gate, CA 90280
Phone (323) 566-6183

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

Organizations & group practices 4

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1487428603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 NAPOLI DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-633-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDI",
        "first_name": "SAHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.