Individual provider Active NPI

David Ardakani, O.D.

  • Optometrist
  • Escondido, CA
National Provider Identifier
1841641222
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33383-TLG Issued in CA
Practice address
3440 Del Lago Blvd Ste E
Escondido, CA 92029-7430
Phone
(760) 431-6331
NPI assigned
Jun 27, 2016
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33383-TLG CA Primary

Addresses

Primary practice location

3440 Del Lago Blvd Ste E
Escondido, CA 92029-7430

Mailing address

8312 Lake Murray Blvd Ste C
San Diego, CA 92119-3435
Phone (619) 464-2076

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
I20200522001603 CA Practitioner - Optometry 6901189695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3440 Del Lago Blvd
Suite E
Escondido, CA 92029-7430
Phone (760) 432-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33383CAMDNutrition Chiropractor
OPT33383-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Optometry, Inc Optometrist CurrentSince Mar 28, 2020 Accepting new patients
Jeffrey a Hall O D Inc Optometrist Past Accepting new patients
Robert Gonzalez OD Inc Optometrist PastSince Oct 1, 2013 Accepting new patients

Locations

3440 Del Lago Blvd
Ste E
Escondido, CA 92029
Phone (760) 431-6331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1841641222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193435",
            "telephone_number": "619-464-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 DEL LAGO BLVD STE E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920297430",
            "telephone_number": "760-431-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDAKANI",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33383-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.