Dr. Shad S. Saremi, O.D., Prof. Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

12171 TPG Issued in CA

Legal business name

DR. SHAD S. SAREMI, O.D., PROF. CORP

Practice address

13550 W. Paxton St
Pacoima, CA 91331

Phone

(818) 890-9600

Fax

(818) 890-9697

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shahriyar Saremi, O.D.NPI 1609926781

Title

President

Phone

(818) 890-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Shahriyar S Saremi, O.D.

  • Optometrist
  • Pacoima, CA
  • NPI 1609926781
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1568706364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 W. PAXTON ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-890-9600",
            "fax_number": "818-890-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 W. PAXTON ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-890-9600",
            "fax_number": "818-890-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAD S. SAREMI, O.D., PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SAREMI",
        "authorized_official_first_name": "SHAHRIYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-890-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12171 TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Donovan
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• Leslie Duarte
• Rebecca Dubner, PSY.D.
• Elizabeth Duran
• Monique Duran
• Tania Melissa Duran

• Optometrist in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.