Organization Active NPI

Susan Kaspian, O.D.

  • Exclusive Provider Organization
  • Lomita, CA
National Provider Identifier
1639443120
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
13200 Issued in CA
Legal business name
SUSAN KASPIAN, O.D.
Practice address
1735 Pacific Coast Hwy
Lomita, CA 90717-2719
Phone
(310) 325-0986
Fax
(310) 325-0790
NPI assigned
Feb 29, 2012
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Susan J. Kaspian, O.D.NPI 1124162151
Title
President/Owner
Phone
(310) 325-0986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 13200 CA Primary
Point of Service 305S00000X 13200 CA

Addresses

Primary practice location

1735 Pacific Coast Hwy
Lomita, CA 90717-2719

Mailing address

1735 Pacific Coast Hwy
Lomita, CA 90717-2719
Phone (310) 325-0986

National Provider Directory

National Provider Directory

Locations

1735 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 325-0986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1639443120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172719",
            "telephone_number": "310-325-0986",
            "fax_number": "310-325-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172719",
            "telephone_number": "310-325-0986",
            "fax_number": "310-325-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KASPIAN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "KASPIAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-325-0986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "13200",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "13200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.