Bajaj Dhakal Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BAJAJ DHAKAL OPTOMETRIC CORPORATION

Practice address

16522 Soledad Canyon Rd
Canyon Country, CA 91387-3215

Phone

(661) 567-0260

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Suparna Bajaj, ODNPI 1295403921

Title

Owner

Phone

(562) 355-0577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suparna Bajaj, OD

  • Optometrist
  • Canyon Country, CA
  • NPI 1295403921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1487474102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 FOXLANE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511201",
            "telephone_number": "562-355-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16522 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873215",
            "telephone_number": "661-567-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAJAJ DHAKAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "SUPARNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-355-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Atalla-Mikhail
• Av Care, LLC.
• Aya Rehab Center LLC
• Kamran Azizi, DMD
• Angelo Andre Bagramyan, RN, BSN, PHN
• Suparna Bajaj, OD
• Honey Balazadeh, DMD
• Bambi Ballesteros
• Virginia Barnett, LMFT
• Diana Barragan Gomez

• Optometrist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.