Individual provider Active NPI

Sarah Essam Maasarani, OD

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1043799166
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34044TLG Issued in CA
Practice address
200 Minor Hall UC Berkeley School of Optometry
Berkeley, CA 94720-0001
Phone
(510) 642-2020
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 34044TLG CA Primary

Addresses

Primary practice location

200 Minor Hall UC Berkeley School of Optometry
Berkeley, CA 94720-0001

Mailing address

420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Phone (213) 625-2694

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200319000709 CA Practitioner - Optometry 1850729187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East-West Eye Institute a Medical CorporationGroup PAC ID 0042297376, 16 clinicians

Practice addresses (Care Compare)

571 W 7TH St
San Pedro, CA 90731-3115
Phone (310) 833-1327

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
91.88
Promoting interoperability
76
Improvement activities
40
Cost
76.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34044TLGCAMDOptometrist
34044CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East-West Eye Institute a Medical Corporation Optometrist CurrentSince Mar 1, 2020 Accepting new patients
East-West Eye Institute a Medical Corporation Past Accepting new patients
East-West Eye Institute a Medical Corporation Optometrist Past Accepting new patients
East-West Eye Institute a Medical Corporation Optometrist Past Accepting new patients

Locations

879 W 190th St
Ste 100
Gardena, CA 90248
Phone (310) 329-9115

420 E 3rd St
Ste 603
Los Angeles, CA 90013
Phone (213) 625-2694

571 W 7th St
San Pedro, CA 90731
Phone (310) 831-1201

23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/amanpreet

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1043799166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-625-2694",
            "fax_number": "213-680-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MINOR HALL UC BERKELEY SCHOOL OF OPTOMETRY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947200001",
            "telephone_number": "510-642-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASARANI",
        "first_name": "SARAH",
        "middle_name": "ESSAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34044TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.