Individual provider Active NPI

James J Giraldi, OD

  • Optometrist
  • Agoura Hills, CA
National Provider Identifier
1669511713
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5271T Issued in CA
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

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5271TCAMDOptometrist
OPT5271TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Khanna Vision Institute, a Medical Corporation Optometrist Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgiraldi@khannavision.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.