Anita Aloian, OD
Individual provider Active NPI Optometrist · Palmdale, CA
NPI 1669946505 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1669946505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 34177TLG (CA)
- Practice address
- 40033 10TH St W
Palmdale, CA 93551-3015 - Phone
- (818) 406-6310
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190503001947 | CA | Practitioner - Optometry | 3173865524 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34177TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William S Brawders OD a PC | Optometrist | Current |
Accepting new patients |
| Third Optometric Care of California PC | Optometrist | Current |
Accepting new patients |
| Third Optometric Care of California | Optometrist | Current | Accepting new patients |
| Third Optometric Care of California | Optometrist | Current |
Accepting new patients |
Locations
40033 10th St W
Ste A
Palmdale, CA 93551
Phone (661) 265-7515
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524
Interoperability endpoints
- anita@antelopemalloptometry.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34177TLG | CA | Yes |
Addresses
Primary practice location
40033 10TH St W
Palmdale, CA 93551-3015
Mailing address
9363 Belvoir Ave
La Crescenta, CA 91214-2333
Phone (818) 406-6310
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.