DR. SANAZ STACY ABOUTALEBI-SIMON (NPI# 1033319215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033319215 |
| Entity Type | Individual |
| Full Name | DR. SANAZ STACY ABOUTALEBI-SIMON |
| Other Name | DR. STACY ABOUTALEBI |
| Credential | O.D. |
| Practice Address |
3400 Delta Fair Blvd The Permanente Medical Group, Inc. Antioch CA 94509-4004 |
| Mailing Address |
2640 Buena Vista Ave Walnut Creek CA 94597-2502 |
| Practice Telephone | 9257795223 |
| Practice Fax Number | 9257795421 |
| Mailing Telephone | 9257269711 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
12259T | CA | Eye and Vision Services Providers |
| Street Address |
3400 DELTA FAIR BLVD THE PERMANENTE MEDICAL GROUP, INC. |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929914 | Barbara A Rhoades | Nurse Practitioner | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2005-08-18 |
| 1962936849 | Nardip Singh | Pharmacist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2017-04-17 |
| 1649704743 | Anh X Nguyen | Pharmacist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2017-04-14 |
| 1104359918 | Borey Som | Pharmacist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2017-04-07 |
| 1790005015 | Elizabeth Seidler | Dermatology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2010-06-09 |
| 1699091793 | Allison Townsend Hampton | Pediatrics | 3400 Delta Fair Blvd, Department of Pediatrics, Antioch, CA 94509-4004 | 2010-04-14 |
| 1063746998 | Athena Panzar | Counselor | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2009-09-24 |
| 1083859888 | Philip Song | Dermatology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2008-12-08 |
| 1700099264 | Derek S Mongold | Family Medicine | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-05-08 |
| 1164647467 | Darcey A Thompson | Physical Therapist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1053880468 | Elements Optometry P.C. | Optometrist | 703 Pier Ave Ste C, Hermosa Beach, CA 90254-3958 | 2018-11-14 |
| 1184108797 | Patrick W Utnehmer A Proffesional Corporation | Optometrist | 41493 Margarita Rd Ste G109, Temecula, CA 92591-5570 | 2018-09-19 |
| 1629586409 | Excel Family Eye Care Inc | Optometrist | 15855 Soquel Canyon Pkwy Ste 120, Chino Hills, CA 91709-7866 | 2018-01-16 |
| 1548634504 | Jessica Duong,o.d.inc. | Optometrist | 4294 Riverwalk Pkwy Ste 204, Riverside, CA 92505-3378 | 2015-11-13 |
| 1649694571 | Visual Eyes Optometry Inc | Optometrist | 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588-2771 | 2014-02-12 |
| 1649602939 | Kambiz Silani | Optometrist | 212 S Robertson Blvd, Beverly Hills, CA 90211-2811 | 2013-08-08 |
| 1740621937 | Old Town Optometry Inc | Optometrist | 78015 Main St Ste 107, La Quinta, CA 92253-3420 | 2013-07-16 |
| 1891033825 | Roushanak Fadavi | Optometrist | 4 Arcata, Mission Viejo, CA 92692-5138 | 2013-01-25 |
| 1659629384 | Yen's Optometry Inc. | Optometrist | 1335 Lincoln Ave, San Jose, CA 95125-3022 | 2012-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.