Individual provider Active NPI

Gurinder Singh Multani, OD

  • Optometrist
  • Valley Village, CA
National Provider Identifier
1619407418
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33666 Issued in CA
Practice address
12139 Riverside Dr
Valley Village, CA 91607-3832
Phone
(818) 763-3937
NPI assigned
Jun 14, 2017
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33666 CA Primary

Addresses

Primary practice location

12139 Riverside Dr
Valley Village, CA 91607-3832

Mailing address

5299 Snowbird CT
Kalamazoo, MI 49009-7742

Other practice location 1

1360 W 6th St Ste 165
San Pedro, CA 90732-3540
Phone (562) 317-3892

Other practice location 2

3440 Lomita Blvd Ste 100
Torrance, CA 90505-4810
Phone (800) 898-2020

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33666CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1619407418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5299 SNOWBIRD CT",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073832",
            "telephone_number": "818-763-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W 6th St Ste 165",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323540",
            "country_code": "US",
            "telephone_number": "562-317-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Lomita Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054810",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULTANI",
        "first_name": "GURINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.