Active NPI
Ghazaleh Matian, O.D.
- Optometrist
- Van Nuys, CA
National Provider Identifier
1811244635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14404
- Practice address
- 14914 Sherman Way
Van Nuys, CA 91405-2113 - Phone
- (818) 787-2020
- Fax
- (818) 787-8652
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14404 | CA | Primary |
Addresses
Primary practice location
14914 Sherman Way
Van Nuys, CA 91405-2113
Mailing address
14914 Sherman Way
Van Nuys, CA 91405-2113
Phone (818) 787-2020
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030004878 | CA | Order and Referring Only - Optometry | 9830336627 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14404 | CA | MD | Optometrist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1811244635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14914 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052113",
"telephone_number": "818-787-2020",
"fax_number": "818-787-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14914 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052113",
"telephone_number": "818-787-2020",
"fax_number": "818-787-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAN",
"first_name": "GHAZALEH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.