Organization Active NPI

Shenila Rajani OD Inc

  • Optometrist
  • Inglewood, CA
National Provider Identifier
1700537644
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHENILA RAJANI OD INC
Practice address
3471 West Century Blvd
C/O Target Optical
Inglewood, CA 90303
Phone
(310) 330-0180
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Dr. Shenila Rajani, ODNPI 1629444252
Title
Optometrist
Phone
(310) 343-9322

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 Primary

Addresses

Primary practice location

3471 West Century Blvd
C/O Target Optical
Inglewood, CA 90303

Mailing address

1430 19TH St
Manhattan Beach, CA 90266-4031
Phone (310) 343-9322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714003109 CA Part B Supplier - Clinic/Group Practice 2466833975 Receives reassigned benefits from 1 practitioner
Practice locations: Inglewood, 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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1700537644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 19TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664031",
            "telephone_number": "310-343-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 WEST CENTURY BLVD",
            "address_2": "C/O TARGET OPTICAL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90303",
            "telephone_number": "310-330-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENILA RAJANI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "RAJANI",
        "authorized_official_first_name": "SHENILA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-343-9322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.