Organization Active NPI

Haleh Guilak O.D., Inc.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1700374428
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HALEH GUILAK O.D., INC.
Practice address
32225 Temecula Pkwy
Temecula, CA 92592-6811
Phone
(951) 302-8062
Fax
(951) 303-9452
NPI assigned
Apr 27, 2018
Last updated
Apr 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Dr. Haleh Guilak, ODNPI 1346390481
Title
Optometrist
Phone
(951) 302-8062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA Primary

Addresses

Primary practice location

32225 Temecula Pkwy
Temecula, CA 92592-6811

Mailing address

32225 Temecula Pkwy
Temecula, CA 92592-6811
Phone (951) 302-8062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524001939 CA Part B Supplier - Clinic/Group Practice 4385909217 Receives reassigned benefits from 1 practitioner
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1700374428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32225 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926811",
            "telephone_number": "951-302-8062",
            "fax_number": "951-303-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32225 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926811",
            "telephone_number": "951-302-8062",
            "fax_number": "951-303-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEH GUILAK O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "GUILAK",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-302-8062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.