Organization Active NPI

Shahrzad Yazdan OD Inc

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1528830262
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHAHRZAD YAZDAN OD INC
Practice address
30505 Avenida de Las Flores Ste a
Rancho Santa Margarita, CA 92688-3939
Phone
(949) 459-1063
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. Shahrzad Yazdan, OD
Title
Optometrist
Phone
(949) 742-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

30505 Avenida de Las Flores Ste a
Rancho Santa Margarita, CA 92688-3939

Mailing address

7725 Gateway Unit 1340
Irvine, CA 92618-1578
Phone (949) 742-9594

National Provider Directory

National Provider Directory

Locations

30505 Avenida de las Flores
Rancho Santa Margarita, CA 92688
Phone (949) 459-1063

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1528830262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 GATEWAY UNIT 1340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181578",
            "telephone_number": "949-742-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30505 AVENIDA DE LAS FLORES STE A",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883939",
            "telephone_number": "949-459-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRZAD YAZDAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "YAZDAN",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "949-742-9594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.