Amandeep Sappal, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

15057 Issued in CA

Practice address

1350 Travis Blvd Unit 1507a
Fairfield, CA 94533-3440

Phone

(707) 421-2020

NPI assigned

Jul 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sappal Optometry Services, Inc.

  • Optometrist
  • Fairfield, CA
  • NPI 1982375184
  Medicare reassignment NPD

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1043628548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MARLOWE CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875265",
            "telephone_number": "707-474-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TRAVIS BLVD UNIT 1507A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333440",
            "telephone_number": "707-421-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPPAL",
        "first_name": "AMANDEEP",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15057TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-1915375",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Balbin Santos, M.D.
• Noris Mercedes Santos, RN
• Cong Zhou Santoso, M.D.
• Bienvenido Hernandez Sapida III
• Sappal Optometry Services, Inc.
• Minerva M. Saqui, MD
• Sarhaddi Pharmaceutical Inc
• Sarhaddi Pharmaceutical Inc
• Sarhaddi Pharmaceutical Inc
• Ali Sarhaddi, PHARM.D

• Optometrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.