Active NPI
Elisya Younan, OD
- Optometrist
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35868
- Practice address
- 751 E Daily Dr Ste 110
Camarillo, CA 93010-6077 - Phone
- (805) 987-8705
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35868 | CA | Primary |
Addresses
Primary practice location
751 E Daily Dr Ste 110
Camarillo, CA 93010-6077
Mailing address
21900 Burbank Blvd Ste 200
Woodland Hills, CA 91367-7420
Phone (909) 725-5308
Other practice location 1
19733 Rinaldi St
Porter Ranch, CA 91326-4143
Phone (818) 832-4646
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 E Daily Dr
Suite 110
Camarillo, CA 93010-6077
Phone (805) 987-8705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35868 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miramar Eye Specialists Medical Group, Inc | Optometrist | Current | Accepting new patients |
| Comprehensive Care of Simi a Professional Medical Corporation | Past | Accepting new patients |
Locations
751 E Daily Dr
Ste 110
Camarillo, CA 93010
Phone (805) 987-8705
1901 Solar Dr
Ste 155
Oxnard, CA 93036
Phone (805) 278-0057
2045 Royal Ave
Ste 234
Simi Valley, CA 93065
Phone (805) 527-1417
3085 Loma Vista Rd
Ventura, CA 93003
Phone (805) 583-3950
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- elisya.younan@uprisedirect.com
- eyounan@direct.mesmg.com
Organizations & group practices 2
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.
-
dba Miramar Eye Specialists Medical Group
- Ophthalmology Physician
- Ventura, CA
- NPI 1992746382
Optometrist
-
dba Comprehensive Care of Simi
- Primary Care Clinic/Center
- Simi Valley, CA
- NPI 1578847158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1538983168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21900 BURBANK BLVD STE 200",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677420",
"telephone_number": "909-725-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E DAILY DR STE 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106077",
"telephone_number": "805-987-8705"
}
],
"practiceLocations": [
{
"address_1": "19733 Rinaldi St",
"address_purpose": "LOCATION",
"city": "Porter Ranch",
"state": "CA",
"postal_code": "913264143",
"country_code": "US",
"telephone_number": "818-832-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNAN",
"first_name": "ELISYA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.