Individual provider Active NPI

Bijan Ostowari, OD

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1679294607
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35287 Issued in CA
Practice address
11800 4TH St
Rancho Cucamonga, CA 91730-6129
Phone
(909) 581-1726
NPI assigned
Sep 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35287 CA Primary

Addresses

Primary practice location

11800 4TH St
Rancho Cucamonga, CA 91730-6129

Mailing address

7101 E Mockingbird Way
Anaheim, CA 92807-4423

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1679294607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 E MOCKINGBIRD WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 4TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306129",
            "telephone_number": "909-581-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOWARI",
        "first_name": "BIJAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; 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.