Individual provider Active NPI

Elisya Younan, OD

  • Optometrist
  • Camarillo, CA
National Provider Identifier
1538983168
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35868 Issued in CA
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

Updated by the provider on Nov 23, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204000407 CA Practitioner - Optometry 0648706473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

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

LicenseStateTypeSpecialty
35868CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miramar Eye Specialists Medical Group, Inc Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Comprehensive Care of Simi a Professional Medical Corporation PastSince Aug 15, 2011 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

  • Direct secure messaging: elisya.younan@uprisedirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.