Individual provider Active NPI

David I. Halpert, O.D.

  • Optometrist
  • Agoura Hills, CA
National Provider Identifier
1700913670
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT06244 Issued in CA
Practice address
28040 Dorothy Dr Ste 103
Agoura Hills, CA 91301-4915
Phone
(818) 889-2020
Fax
(818) 706-0288
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT06244 CA Primary

Addresses

Primary practice location

28040 Dorothy Dr Ste 103
Agoura Hills, CA 91301-4915

Mailing address

5643 Kanan Rd
Agoura Hills, CA 91301-3358
Phone (818) 889-2020

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT06244CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Medical Group Past Accepting new patients

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1700913670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013358",
            "telephone_number": "818-889-2020",
            "fax_number": "818-706-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DR STE 103",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014915",
            "telephone_number": "818-889-2020",
            "fax_number": "818-706-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERT",
        "first_name": "DAVID",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT06244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.