Active NPI
James J Giraldi, OD
- Optometrist
- Agoura Hills, CA
National Provider Identifier
1669511713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5271T
- Practice address
- 30313 Canwood St
#24
Agoura Hills, CA 91301 - Phone
- (818) 991-3937
- Fax
- (818) 991-3828
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5271T | CA | |
| Optometrist | 152W00000X | OPT5271T | CA | Primary |
Addresses
Primary practice location
30313 Canwood St
#24
Agoura Hills, CA 91301
Mailing address
30313 Canwood St
#24
Agoura Hills, CA 91301
Phone (818) 991-3937
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071220000262 | CA | Practitioner - Optometry | 4789774233 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1969
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14914 Sherman Way
Van Nuys, CA 91405-2113
5530 Tanoak LN
Apt 282
Oak Park, CA 91377-5408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5271T | CA | MD | Optometrist |
| OPT5271T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khanna Vision Institute, a Medical Corporation | Optometrist | Current | Accepting new patients |
Interoperability endpoints
- jgiraldi@khannavision.intellechartdirect.net
- james.gilardi.p1@direct.valleyeyecenter.nextgenshare.com
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Westlake Village, CA
- NPI 1902108855
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1669511713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30313 CANWOOD ST",
"address_2": "#24",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301",
"telephone_number": "818-991-3937",
"fax_number": "818-991-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30313 CANWOOD ST",
"address_2": "#24",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301",
"telephone_number": "818-991-3937",
"fax_number": "818-991-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRALDI",
"first_name": "JAMES",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5271T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT5271T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.