Individual provider Active NPI

Liyan Arasteh, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1629656095
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34782TLG Issued in CA
Practice address
4255 Campus Dr Ste A110
Irvine, CA 92612-8627
Phone
(949) 854-7122
Fax
(949) 854-7322
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34782TLG CA Primary

Addresses

Primary practice location

4255 Campus Dr Ste A110
Irvine, CA 92612-8627

Mailing address

5 Alejo
Irvine, CA 92612-2913
Phone (949) 677-2282

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop

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
I20210507002118 CA Practitioner - Optometry 7315356151 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34782CAMDOccupational Health Chiropractor
OPT34782TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
O.C. Optometric Group Inc. Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Pacific Optometric Group Optometrist CurrentSince Feb 9, 2025 Accepting new patients
Hansra Optometric Corporation CurrentSince Jul 14, 2023 Accepting new patients
Tedder Optometric Corporation, PC Optometrist CurrentSince Jul 14, 2023 Accepting new patients

Locations

10502 Katella Ave
Anaheim, CA 92804
Phone (714) 776-2020

4255 Campus Dr
Ste A110
Irvine, CA 92612
Phone (949) 854-7122

23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524

Interoperability endpoints

  • Direct secure messaging: liyan.arastehod.p93@direct.nautilus.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1629656095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALEJO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122913",
            "telephone_number": "949-677-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR STE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128627",
            "telephone_number": "949-854-7122",
            "fax_number": "949-854-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARASTEH",
        "first_name": "LIYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34782TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "4255 Campus Dr Ste A110",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926128627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.