Individual provider Active NPI

Talisa Chhabra, OD

  • Optometrist
  • Valencia, CA
National Provider Identifier
1841019734
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35861 Issued in CA
Practice address
27420 Tourney Rd Ste 100
Valencia, CA 91355-5631
Phone
(661) 259-3937
Fax
(661) 259-3904
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 35861 CA Primary

Addresses

Primary practice location

27420 Tourney Rd Ste 100
Valencia, CA 91355-5631

Mailing address

27420 Tourney Rd Ste 100
Santa Clarita, CA 91355-5631

Other practice location 1

619 W Avenue Q Ste C
Palmdale, CA 93551-3889
Phone (661) 266-3937

Other practice location 2

19335 Plum Canyon Rd Ste D
Santa Clarita, CA 91350-5843
Phone (661) 296-3937

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
I20241203002967 CA Practitioner - Optometry 5698200483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig Helm M D a Professional CorporationGroup PAC ID 2365588910, 10 clinicians

Practice addresses (Care Compare)

27420 Tourney Rd
Suite 100
Valencia, CA 91355-5631
Phone (661) 259-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35861CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Helm M D a Professional Corporation CurrentSince Nov 4, 2024 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

619 W Avenue Q
Ste C
Palmdale, CA 93551
Phone (661) 266-3937

19335 Plum Canyon Rd
Ste D
Santa Clarita, CA 91350
Phone (661) 296-3937

27420 Tourney Rd
Ste 100
Valencia, CA 91355
Phone (661) 259-3937

Organizations & group practices 2

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1841019734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 100",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555631",
            "telephone_number": "661-259-3937",
            "fax_number": "661-259-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 W Avenue Q Ste C",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513889",
            "country_code": "US",
            "telephone_number": "661-266-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19335 Plum Canyon Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913505843",
            "country_code": "US",
            "telephone_number": "661-296-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "TALISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.