Individual provider Active NPI

Yasmin Sanati, OD

  • Optometrist
  • Canoga Park, CA
National Provider Identifier
1699348953
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34836 Issued in CA
Practice address
6800 Owensmouth Ave Ste 400
Canoga Park, CA 91303-3169
Phone
(818) 322-5704
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34836 CA Primary

Addresses

Primary practice location

6800 Owensmouth Ave Ste 400
Canoga Park, CA 91303-3169

Mailing address

6800 Owensmouth Ave Ste 400
Canoga Park, CA 91303-3169

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
I20210901000483 CA Practitioner - Optometry 2466858378 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34836CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 24, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Feb 24, 2023 Accepting new patients
Matthew R Alpert OD Optometrist Past Accepting new patients

Locations

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 545-4585

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

20929 Ventura Blvd
Ste 23
Woodland Hls, CA 91364
Phone (424) 666-1597

Organizations & group practices 5

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1699348953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE STE 400",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE STE 400",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033169",
            "telephone_number": "818-322-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANATI",
        "first_name": "YASMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.