Individual provider Active NPI

Tanya Chaljian, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1609555457
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35569 Issued in CA
Practice address
237 N Western Ave
Los Angeles, CA 90004-4107
Phone
(323) 469-1929
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35569 CA Primary

Addresses

Primary practice location

237 N Western Ave
Los Angeles, CA 90004-4107

Mailing address

2146 Las Lunas St
Pasadena, CA 91107-2420
Phone (818) 913-0590

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
I20230821002445 CA Practitioner - Optometry 4183086382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

237 N Western Ave
Los Angeles, CA 90004-4107
Phone (323) 469-1929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35569CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Optometric Center Inc Optometrist CurrentSince Jul 24, 2023 Accepting new patients

Locations

237 N Western Ave
Los Angeles, CA 90004
Phone (323) 469-1929

Organizations & group practices 1

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1609555457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 LAS LUNAS ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072420",
            "telephone_number": "818-913-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044107",
            "telephone_number": "323-469-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALJIAN",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.