Tatevik Mananian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34373TLG Issued in CA

Practice address

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469

Phone

(310) 546-5568

NPI assigned

Aug 31, 2019

Last updated

Aug 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athena Brasfield OD a Professional Corporation

  dba Coachella Valley Optometry

  • Optometrist
  • Indio, CA
  • NPI 1821441221
  Medicare reassignment NPD
• Golden Ardaya & Lin Optometry Inc

  • Optometrist
  • Whittier, CA
  • NPI 1962764340
  Medicare reassignment NPD
• Dr. Gregory L. McFarland, O.D., P.C

  dba Desert Eye Care Center of Optometry

  • Optometrist
  • Palm Springs, CA
  • NPI 1093983074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1932757028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MAGNOLIA BLVD STE 261",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-546-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Magnolia Blvd Ste 261",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021162",
            "country_code": "US",
            "telephone_number": "818-841-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANANIAN",
        "first_name": "TATEVIK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34373TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michela Maletis, PA-C
• Courtney Elizabeth Maliakkal, PSYD
• Shelly Malone, MPH, RD
• Jason-Matthew San Jose Manalili, PT
• Enrika Gerelyn Asuncion Manalo
• Manhattan Beach Dental Esthetics
• Manhattan Beach Guest Home, Inc.
• Manhattan Beach Surgical Institute LLC
• Manhattan Beach Unified School District
• Manhattan Beach Vision Group - Optometry, Inc

• Optometrist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.