Individual provider Active NPI

Antoine Garabet

  • Ophthalmology Physician
  • Glendora, CA
National Provider Identifier
1871977645
Registry record updated Jul 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G50394 Issued in CA
Practice address
840 N Pennsylvania LN
Glendora, CA 91741-2060
Phone
(626) 391-1298
NPI assigned
Jul 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G50394 CA Primary

Addresses

Primary practice location

840 N Pennsylvania LN
Glendora, CA 91741-2060

Mailing address

840 N Pennsylvania LN
Glendora, CA 91741-2060
Phone (626) 391-1298

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114001915 CA Practitioner - Ophthalmology 1254817778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oral Roberts University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 N Raymond Ave
Unit 212
Pasadena, CA 91103-4535

5344 Circle Dr
Apt 21
Sherman Oaks, CA 91401-5640

840 N Pennsylvania Lane
Glendora, CA 91741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50394CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khaled a. Tawansy, M.D., Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

7447 N Figueroa St
Ste 200
Los Angeles, CA 90041
Phone (323) 256-3937

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": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1871977645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N PENNSYLVANIA LN",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412060",
            "telephone_number": "626-391-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N PENNSYLVANIA LN",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412060",
            "telephone_number": "626-391-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARABET",
        "first_name": "ANTOINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-11",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G50394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.