M Alexander Bonakdar OD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OP9763 Issued in CA

Legal business name

M ALEXANDER BONAKDAR OD INC

Practice address

801 N Tustin Ave
Ste 404
Santa Ana, CA 92705-3612

Phone

(714) 558-1182

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

M Alexander Bonakdar, OD

Title

President

Phone

(714) 558-1182

Specialties & licenses 2

Addresses

Other names 1

• Eyecare center of OC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander M Bonakdar, O.D

  • Optometrist
  • Santa Ana, CA
  • NPI 1588668917
  Medicare reassignment NPD
• Kourosh Dastgheib, MD

  • Ophthalmology Physician
  • Garden Grove, CA
  • NPI 1578523593
  NPD (past)
• Anne Cindy Lee, OD, FAAO

  • Pediatric Optometrist
  • Hawthorne, CA
  • NPI 1366440018
  NPD (past)
• Marc Howard Shomer, M.D., PH.D.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1457457483
  NPD (past)
• Diem Ngoc Tran, O.D.

  • Optometrist
  • Brea, CA
  • NPI 1629065792
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1548433477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 404",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-558-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 404",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-558-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ALEXANDER BONAKDAR OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "BONAKDAR",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-558-1182",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP9763T",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "OP9763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare center of OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tim Lynch, MD
• Ebony Sheraun Lynk
• Whitney Alyse Lynott, RD
• William V. Lyon, R.D.O. R.C.L.D.
• Isabella Lyons
• M Farshidpour DDS Inc
• M. Torres a Professional Dental Corporation
• M.G. Farzin, D.D.S., Inc.
• M.I.R.N.a.a. LLC
• M.J. Amini Dental Corp.

• Ophthalmology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.