Payal Bavishi

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT34074-TLG Issued in CA

Practice address

1575 B St
Hayward, CA 94541-3017

Phone

(510) 581-1430

NPI assigned

Aug 28, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Payal Bavishi OD Prof Corp.Group PAC ID 4789054131, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Payal Bavishi OD Prof Corp

  dba Warm Springs Optometric Group

  • Optometrist
  • Fremont, CA
  • NPI 1356078265
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Zhublawar Optometric Corporation

  dba The Optometry Center

  • Optometrist
  • Hayward, CA
  • NPI 1598898249
  Medicare reassignment
• Michael F Fauria OD and Susan M Pirrone OD a Professional Optom

  dba Warm springs Optometric Group

  • Corneal and Contact Management Optometrist
  • Fremont, CA
  • NPI 1205953213
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1053892976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 DRURY CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383321",
            "telephone_number": "510-371-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413017",
            "telephone_number": "510-581-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "PAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34074-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Bautista-Moore
• Analissa Kitana Bautista, DPT
• Andrea Bautista
• Jack Bautista
• Jacqueline Bautista, MS
• Bay Area Acupuncture & Herbs Inc (Bay Area Acupuncture Center)
• Bay Area Community Services, Inc.
• Bay Area Community Services, Inc.
• Bay Area Community Services, Inc.
• Bay Area Community Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.