Individual provider Active NPI

Ani Janszyan, OD

  • Optometrist
  • Studio City, CA
National Provider Identifier
1639636343
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34199TLG Issued in CA
Practice address
11996 Ventura Blvd Ste B
Studio City, CA 91604-2606
Phone
(818) 763-1875
Fax
(818) 505-0165
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34199TLG CA Primary

Addresses

Primary practice location

11996 Ventura Blvd Ste B
Studio City, CA 91604-2606

Mailing address

11996 Ventura Blvd Ste B
Studio City, CA 91604-2606
Phone (818) 763-1875

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
I20200303002141 CA Practitioner - Optometry 5294162236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34199TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ani Janszyan, OD, Inc Optometrist CurrentSince Feb 9, 2025 Accepting new patients
Eyes of the Marina Optometry Optometrist Past Accepting new patients

Locations

11996 Ventura Blvd
Ste B
Studio City, CA 91604
Phone (818) 763-1875

Organizations & group practices 3

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1639636343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11996 VENTURA BLVD STE B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042606",
            "telephone_number": "818-763-1875",
            "fax_number": "818-505-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11996 VENTURA BLVD STE B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042606",
            "telephone_number": "818-763-1875",
            "fax_number": "818-505-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSZYAN",
        "first_name": "ANI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34199TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.