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DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
NPI 1033319215
Optometrist - Corneal and Contact Management in Antioch, CA

Active since July 24, 2007PECOS Enrolled
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC., ANTIOCH, CA 94509(925) 779-5223(925) 779-5421 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sanaz Stacy Aboutalebi-simon O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANAZ STACY ABOUTALEBI-SIMON O.D. (NPI 1033319215) is an individual corneal and contact management provider in Antioch, California, licensed in California (12259T) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033319215
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. SANAZ STACY ABOUTALEBI-SIMONCredential: O.D.
Location Address3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.Antioch, CA 94509-4004
Mailing Address2640 Buena Vista AveWalnut Creek, CA 94597-2502 · (925) 726-9711
Phone(925) 779-5223
Fax(925) 779-5421
Sole ProprietorNo
Enumeration DateJuly 24, 2007
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1033319215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in CA · 12259T
Definition
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.
3400 DELTA FAIR BLVD, Antioch, CA 94509
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Other Names 1

Other Name (5)Dr. Stacy Aboutalebi O.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanaz Stacy Aboutalebi-simon O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sanaz Aboutalebi-simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
24 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ROBERT WHITE PT
Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5442
ROSETTA C. NEWHALL MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
RAJ V. DASARI MD
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. ATHENA PANZAR PSY.D.
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5090
AL G. SUMAQUIAL MD
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BERNABE FLORO URBANO JR. MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BOREY SOM
Pharmacist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5247
MRS. JOAN K VATTUONE R.D.
Dietitian, Registered
3400 DELTA FAIR BLVD, HEALTH EDUCATION
ANTIOCH, CA 94509
Contra Costa County (925) 779-5140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanaz Aboutalebi-simon's NPI number?

The NPI number for Sanaz Aboutalebi-simon is 1033319215. It was assigned to this individual provider in the NPPES registry on July 24, 2007. The provider is also known as Dr. Stacy Aboutalebi O.D..

Where is Sanaz Aboutalebi-simon located?

Sanaz Aboutalebi-simon practices at 3400 Delta Fair Blvd The Permanente Medical Group, Inc., Antioch, CA 94509. The listed phone number is (925) 779-5223.

What is Sanaz Aboutalebi-simon's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Sanaz Aboutalebi-simon enrolled in Medicare?

Yes. Sanaz Aboutalebi-simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sanaz Aboutalebi-simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanaz Aboutalebi-simon reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanaz Aboutalebi-simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanaz Aboutalebi-simon was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.