Individual provider Active NPI

Araz Housepian, OD

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1679164875
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34763 Issued in CA
Practice address
106 W Colorado Blvd
Pasadena, CA 91105-1925
Phone
(310) 486-0192
NPI assigned
Jan 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34763 CA Primary

Addresses

Primary practice location

106 W Colorado Blvd
Pasadena, CA 91105-1925

Mailing address

555 E Olive Ave Apt 112
Burbank, CA 91501-2157
Phone (818) 590-3663

Other practice location 1

8129 W 3rd St
Los Angeles, CA 90048-4308
Phone (310) 486-0192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34763CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Chan OD a Professional Corporation Optometrist PastSince Feb 7, 2021 Accepting new patients

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": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1679164875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E OLIVE AVE APT 112",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012157",
            "telephone_number": "818-590-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051925",
            "telephone_number": "310-486-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8129 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484308",
            "country_code": "US",
            "telephone_number": "310-486-0192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSEPIAN",
        "first_name": "ARAZ",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.