Individual provider Active NPI

Negar Gharib, O.D.

  • Optometrist
  • Encino, CA
National Provider Identifier
1851456727
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10934T Issued in CA
Practice address
16542 Ventura Blvd Ste 115
Encino, CA 91436-2099
Phone
(818) 399-1564
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10934T CA Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 115
Encino, CA 91436-2099

Mailing address

3831 Winford Dr
Tarzana, CA 91356-5802
Phone (818) 788-1719

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
I20170517002224 CA Practitioner - Optometry 9234406505 Practice locations: Encino, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10934TCAMDOptometrist
10934CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mireille Partamian Hamparian MD, Inc. Past Accepting new patients

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1851456727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 WINFORD DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565802",
            "telephone_number": "818-788-1719",
            "fax_number": "818-788-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 115",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362099",
            "telephone_number": "818-399-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIB",
        "first_name": "NEGAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10934T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.