Individual provider Active NPI

Arthur Pazornik, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1922019389
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4978 Issued in CA
Practice address
2220 Clark Ave
Long Beach, CA 90815-2521
Phone
(562) 597-4181
Fax
(562) 597-7083
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT4978 CA
Optometrist 152W00000X 4978 CA Primary

Addresses

Primary practice location

2220 Clark Ave
Long Beach, CA 90815-2521

Mailing address

75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

Other identifiers 5

IdentifierTypeStateIssuer
SD0049780MedicaidCA
410046775OtherCARAILROAD MEDICARE
410046775OtherCAMEDICARE RAILROAD
00OPT49780OtherCABLUE SHIELD
SA0049780MedicaidCA

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
I20110204000964 CA Practitioner - Optometry 8325228562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amplify Physicians of California PCGroup PAC ID 5092252593, 4 clinicians
Harold Katzman M D IncGroup PAC ID 5597678037, 5 clinicians

Practice addresses (Care Compare)

4403 S Vermont Ave
Los Angeles, CA 90037-2413
Phone (323) 232-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4978CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Physicians of California PC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Amplify Physicians of California PC Current Accepting new patients
Pioneer Medical Group Inc. CurrentSince Oct 1, 2000 Accepting new patients

Locations

17777 Center Court Dr N
Ste 400
Cerritos, CA 90703
Phone (562) 229-9452

11480 Brookshire Ave
Downey, CA 90241
Phone (562) 862-0804

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

4403 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 232-1234

Organizations & group practices 4

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1922019389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CLARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152521",
            "telephone_number": "562-597-4181",
            "fax_number": "562-597-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZORNIK",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4978",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0049780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410046775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00OPT49780",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0049780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.