Individual provider Active NPI

Steven I. Bai, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1497858930
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8375T Issued in CA
Practice address
3030 W Olympic Blvd Ste 110
Los Angeles, CA 90006-6504
Phone
(213) 487-4488
Fax
(213) 487-4908
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8375T CA Primary

Addresses

Primary practice location

3030 W Olympic Blvd Ste 110
Los Angeles, CA 90006-6504

Mailing address

3030 W. Olympic BL
#110
La, CA 90006
Phone (213) 487-4488

Other identifiers 1

IdentifierTypeStateIssuer
SD0083750MedicaidCA

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
I20071226000521 CA Practitioner - Optometry 4880784149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3030 W Olympic Blvd
Suite 110
Los Angeles, CA 90006-6504
Phone (818) 913-3857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8375TCAMDOptometrist
8375CAMDHearing Instrument Specialist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1497858930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W. OLYMPIC BL",
            "address_2": "#110",
            "city": "LA",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "213-487-4488",
            "fax_number": "213-487-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066504",
            "telephone_number": "213-487-4488",
            "fax_number": "213-487-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "STEVEN",
        "middle_name": "I.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8375T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0083750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.