Organization Active NPI

Sand Pacific Eye Group

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1649823618
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.