Individual provider Active NPI

Kajol Jewan, OD

  • Optometrist
  • Canoga Park, CA
National Provider Identifier
1952102683
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36289 Issued in CA
Practice address
6600 Topanga Canyon Blvd
Canoga Park, CA 91303-2609
Phone
(818) 348-7700
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36289 CA Primary

Addresses

Primary practice location

6600 Topanga Canyon Blvd
Canoga Park, CA 91303-2609

Mailing address

14466 Shawnee St
Moorpark, CA 93021-3571
Phone (805) 259-7579

Other practice location 1

1555 Simi Town Center Way Ste 575
Simi Valley, CA 93065-0535
Phone (805) 526-0279

Other practice location 2

2001 Ventura Blvd
Oxnard, CA 93036-1813
Phone (805) 983-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14466 Shawnee St
Moorpark, CA 93021-3571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1952102683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14466 SHAWNEE ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213571",
            "telephone_number": "805-259-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 TOPANGA CANYON BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032609",
            "telephone_number": "818-348-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Simi Town Center Way Ste 575",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930650535",
            "country_code": "US",
            "telephone_number": "805-526-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930361813",
            "country_code": "US",
            "telephone_number": "805-983-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWAN",
        "first_name": "KAJOL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.