Active NPI
Shahriyar S Saremi, O.D.
- Optometrist
- Pacoima, CA
National Provider Identifier
1609926781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1271TPA
- Practice address
- 13550 W. Paxton St
Pacoima, CA 91331-2352 - Phone
- (818) 890-9600
- Fax
- (818) 890-9697
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1271TPA | CA | Primary |
Addresses
Primary practice location
13550 W. Paxton St
Pacoima, CA 91331-2352
Mailing address
13550 W. Paxton St
Pacoima, CA 91331-2352
Phone (818) 890-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0121710 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13550 Paxton St
Pacoima, CA 91331-2352
Phone (818) 890-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1271TPA | CA | MD | Optometrist |
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.
-
- Optometrist
- Pacoima, CA
- NPI 1568706364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1609926781",
"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": "913312352",
"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": "913312352",
"telephone_number": "818-890-9600",
"fax_number": "818-890-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAREMI",
"first_name": "SHAHRIYAR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "1271TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0121710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- 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; Order and Referring.
- 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.