Individual provider Active NPI

Ashkan Niktabe, OD

  • Optometrist
  • West Hills, CA
National Provider Identifier
1851085120
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35464 Issued in CA
Practice address
6433 Fallbrook Ave
West Hills, CA 91307-3543
Phone
(818) 703-1410
Fax
(818) 703-9079
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 35464 CA Primary

Addresses

Primary practice location

6433 Fallbrook Ave
West Hills, CA 91307-3543

Mailing address

14159 Dickens St Apt 201
Sherman Oaks, CA 91423-5806

Other practice location 1

14159 Dickens St Apt 201
Sherman Oaks, CA 91423-5806
Phone (818) 422-2318

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
I20240508001771 CA Practitioner - Optometry 2567803562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. J. Solomon Moore, OD and Associates, Inc.Group PAC ID 0143123646, 4 clinicians

Practice addresses (Care Compare)

14434 Hamlin St
Suite 1
Van Nuys, CA 91401-1461
Phone (818) 785-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. J. Solomon Moore, OD & Associates, Inc. Optometrist CurrentSince Apr 25, 2024 Accepting new patients

Locations

14434 Hamlin St
Ste 1
Van Nuys, CA 91401
Phone (818) 785-4040

Organizations & group practices 1

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1851085120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14159 DICKENS ST APT 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235806",
            "fax_number": "818-703-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 FALLBROOK AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073543",
            "telephone_number": "818-703-1410",
            "fax_number": "818-703-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14159 Dickens St Apt 201",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914235806",
            "country_code": "US",
            "telephone_number": "818-422-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKTABE",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.