Active NPI
Yan Zlatin
- Optician
- Canoga Park, CA
National Provider Identifier
1609413665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SLD1035
- Practice address
- 21001 Sherman Way # 14a
Canoga Park, CA 91303-1760 - Phone
- (747) 230-0424
- Fax
- (818) 276-0009
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | SLD1035 | CA | Primary |
Addresses
Primary practice location
21001 Sherman Way # 14a
Canoga Park, CA 91303-1760
Mailing address
15270 Sutton St Apt 206
Sherman Oaks, CA 91403-3931
Phone (818) 324-7193
Other practice location 1
15270 Sutton St Apt 206
Sherman Oaks, CA 91403-3931
Phone (818) 324-7193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLD1035 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1609413665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15270 SUTTON ST APT 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033931",
"telephone_number": "818-324-7193",
"fax_number": "818-276-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21001 SHERMAN WAY # 14A",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031760",
"telephone_number": "747-230-0424",
"fax_number": "818-276-0009"
}
],
"practiceLocations": [
{
"address_1": "15270 Sutton St Apt 206",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914033931",
"country_code": "US",
"telephone_number": "818-324-7193",
"fax_number": "818-276-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZLATIN",
"first_name": "YAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SLD1035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.