Individual provider Active NPI

Nauz Hassanshahi, OD

  • Optometrist
  • Rialto, CA
National Provider Identifier
1497266357
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33841-TLG Issued in CA
Practice address
1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone
(909) 875-1144
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33841-TLG CA Primary

Addresses

Primary practice location

1850 N Riverside Ave
Ste 220
Rialto, CA 92376

Mailing address

1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone (909) 875-1144

Other practice location 1

1100 W Gonzales Rd
Oxnard, CA 93036-3336
Phone (805) 647-6353

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
I20190824000305 CA Practitioner - Optometry 0143558445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1100 W Gonzales Rd
Oxnard, CA 93036-3336
Phone (805) 988-0053

847 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

857 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33841-TLGCAMDOptometrist
33841CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist CurrentSince Jul 30, 2021 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Dr. Alissa Wald and Associates Optometry, Inc. Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Jul 30, 2021 Accepting new patients
Woodbridge Optometry, Inc. Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jul 1, 2024 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

1545 Adams Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 545-9162

4505 Barranca Pkwy
Ste C
Irvine, CA 92604
Phone (949) 857-0676

1100 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 988-0053

1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone (909) 421-3003

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: nauz.hassanshahi.p1@direct.clinicas.nextgenshare.com
  • Direct secure messaging: nauz.hassanshani.p1@direct.castle.nextgenshare.com

Organizations & group practices 9

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1497266357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "STE 220",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-875-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "STE 220",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-875-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Gonzales Rd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930363336",
            "country_code": "US",
            "telephone_number": "805-647-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSANSHAHI",
        "first_name": "NAUZ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33841-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.