Active NPI
Sand Pacific Eye Group
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1649823618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SAND PACIFIC EYE GROUP
- Practice address
- 1964 Westwood Blvd Ste 125
Los Angeles, CA 90025-8405 - Phone
- (310) 441-2263
- NPI assigned
- Jul 19, 2019
- Last updated
- Dec 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Sand, MD
- Title
- Agent of Service
- Phone
- (310) 750-3820
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary | |
| Cornea and External Diseases Specialist Physician | 207WX0120X | NU |
Addresses
Primary practice location
1964 Westwood Blvd Ste 125
Los Angeles, CA 90025-8405
Mailing address
1964 Westwood Blvd Ste 125
Los Angeles, CA 90025-8405
National Provider Directory
National Provider DirectoryLocations
1964 Westwood Blvd
Ste 125
Los Angeles, CA 90025
Phone (310) 441-2263
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1871675876
-
- Anesthesiology Physician
- Northridge, CA
- NPI 1619985215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607904000000",
"number": "1649823618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 WESTWOOD BLVD STE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900258405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 WESTWOOD BLVD STE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900258405",
"telephone_number": "310-441-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAND PACIFIC EYE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A",
"authorized_official_last_name": "SAND",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "AGENT OF SERVICE",
"authorized_official_telephone_number": "310-750-3820",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.