Paul Arnold Kiyan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5891T Issued in CA

Practice address

1887 Business Center Dr
Suite 2a
San Bernardino, CA 92408-3463

Phone

(909) 383-1053

Fax

(909) 381-2144

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eduardo Santos Uy MD Inc

  • General Practice Physician
  • Fontana, CA
  • NPI 1629257191
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1679648737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR",
            "address_2": "SUITE 2A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "909-383-1053",
            "fax_number": "909-381-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR",
            "address_2": "SUITE 2A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083463",
            "telephone_number": "909-383-1053",
            "fax_number": "909-381-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYAN",
        "first_name": "PAUL",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5891T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sood Kisra, MD
• Dora Kissi
• Kristin Kitagawa
• Daniel Steven Kitowski
• Kiyan Optometric
• Robert Klacansky
• Adrienne Ann Knabb, M.A.
• Stephaney Knapp
• Brianna Leigh Knight
• Randall Knight, RPH

• Optometrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.