Organization Active NPI

Bayan Z Naime OD Inc

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1760971071
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13756 Issued in CA
Legal business name
BAYAN Z NAIME OD INC
Practice address
12568 Valley View St
Garden Grove, CA 92845-2006
Phone
(714) 894-3353
NPI assigned
May 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Dr. Bayan Naime, ODNPI 1790915155
Title
OD/Owner
Phone
(562) 506-5004

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 13756 CA Primary

Addresses

Primary practice location

12568 Valley View St
Garden Grove, CA 92845-2006

Mailing address

12568 Valley View St
Garden Grove, CA 92845-2006
Phone (714) 894-3353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190123003590 CA Part B Supplier - Clinic/Group Practice 5496092835 Receives reassigned benefits from 3 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12500 Valley View St
Ste B
Garden Grove, CA 92845
Phone (714) 894-3353

Practitioners & affiliated clinicians

Practitioners 3

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": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1760971071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12568 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-894-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12568 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-894-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAN Z NAIME OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "NAIME",
        "authorized_official_first_name": "BAYAN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "562-506-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.