Individual provider Active NPI

Negin Alam Aboutorabian, OD

  • Optometrist
  • Oxnard, CA
National Provider Identifier
1639724941
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34314 Issued in CA
Practice address
125 E Gonzales Rd
Oxnard, CA 93036-8259
Phone
(805) 485-4854
NPI assigned
Aug 4, 2019
Last updated
Aug 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34314 CA Primary

Addresses

Primary practice location

125 E Gonzales Rd
Oxnard, CA 93036-8259

Mailing address

1505 Purdue Ave Apt 303
Los Angeles, CA 90025-3288
Phone (310) 622-5992

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
34314CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Collins Optometrist Past Accepting new patients
Silver Strand Optometry Corp Optometrist PastSince Aug 11, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: negin.aboutorabian@uprisedirect.com

Organizations & group practices 2

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1639724941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PURDUE AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253288",
            "telephone_number": "310-622-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E GONZALES RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368259",
            "telephone_number": "805-485-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUTORABIAN",
        "first_name": "NEGIN",
        "middle_name": "ALAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.