Individual provider Active NPI

Sato Mananian, OD, MBS

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1932736261
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34316-TLG Issued in CA
Practice address
2700 E Foothill Blvd Ste 207
Pasadena, CA 91107-7111
Phone
(626) 578-9685
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34316-TLG CA Primary

Addresses

Primary practice location

2700 E Foothill Blvd Ste 207
Pasadena, CA 91107-7111

Mailing address

2002 Rangeview Dr
Glendale, CA 91201-1148
Phone (818) 269-2685

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
I20200820002402 CA Practitioner - Optometry 3173949120 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34316CAMDDentist
34316-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Alissa Wald and Associates Optometry, Inc. Optometrist CurrentSince Nov 29, 2021 Accepting new patients
David B Rosenblum O D Inc Optometrist CurrentSince May 8, 2024 Accepting new patients
Woodbridge Optometry, Inc. Optometrist CurrentSince Nov 29, 2021 Accepting new patients
Nusite Optometry Optometrist PastSince Jul 13, 2025 Accepting new patients

Locations

11805 South St
Cerritos, CA 90703
Phone (562) 860-4475

1545 Adams Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 545-9162

4505 Barranca Pkwy
Ste C
Irvine, CA 92604
Phone (949) 857-0676

21151 Newport Coast Dr
Newport Coast, CA 92657
Phone (949) 640-4733

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1932736261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 RANGEVIEW DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011148",
            "telephone_number": "818-269-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077111",
            "telephone_number": "626-578-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANIAN",
        "first_name": "SATO",
        "credential": "OD, MBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34316-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.