Individual provider Active NPI

Daniel Sjolund, OD

  • Optometrist
  • Santa Clarita, CA
National Provider Identifier
1760866362
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15404 Issued in CA
Practice address
27335 Tourney Rd Ste 180
Santa Clarita, CA 91355-2204
Phone
(661) 259-1662
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15404 CA Primary

Addresses

Primary practice location

27335 Tourney Rd Ste 180
Santa Clarita, CA 91355-2204

Mailing address

27335 Tourney Rd Ste 180
Santa Clarita, CA 91355-2204
Phone (661) 259-1662

Other practice location 1

1355 4th St
Santa Monica, CA 90401-1301
Phone (310) 394-1011

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
I20170718000648 CA Practitioner - Optometry 9032486014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

906 San Fernando Rd
San Fernando, CA 91340-3311
Phone (818) 361-1513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15404CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sun and Dr Sjolund Optometric Corp Optometrist CurrentSince Mar 23, 2021 Accepting new patients
Dr. Daniel Sjolund and Dr. Alice Sun, Optometric Corporation Optometrist PastSince Jun 2, 2024 Accepting new patients

Locations

1355 4th St
Santa Monica, CA 90401
Phone (310) 394-1011

Organizations & group practices 4

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1760866362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27335 TOURNEY RD STE 180",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552204",
            "telephone_number": "661-259-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27335 TOURNEY RD STE 180",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552204",
            "telephone_number": "661-259-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904011301",
            "country_code": "US",
            "telephone_number": "310-394-1011",
            "fax_number": "310-394-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SJOLUND",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.