Rachel M Gannam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT13020 Issued in CA

Practice address

155 E Wilbur Rd Ste 101
Thousand Oaks, CA 91360-7929

Phone

(805) 497-7840

Fax

(805) 373-0577

NPI assigned

Jul 29, 2006

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul a Snyder OD IncGroup PAC ID 2062776867, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.gannamod.p3@direct.valleyeyecenter.nextgenshare.com
• Direct secure messaging: rachel.gannamod.p1@direct.valleyeyecenter.nextgenshare.com

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.

• Paul a. Snyder O.D., Inc.

  • Optometrist
  • Thousand Oaks, CA
  • NPI 1922505353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1073528949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E WILBUR RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607929",
            "telephone_number": "805-497-7840",
            "fax_number": "805-373-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E WILBUR RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607929",
            "telephone_number": "805-497-7840",
            "fax_number": "805-373-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNAM",
        "first_name": "RACHEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Gadepally, MD
• Nicholas Patrick Gallagher
• Steven Kenneth Galson, MD, MPH
• Asvin Minoo Ganapathi, M.D.
• Aruni Ganewatte, MS
• Oliver Holger Gantz, M.D.
• Eveline Garbin
• Anjel Monique Garcia-Rivas
• Ariel Garcia-Rodriguez
• Analilia Garcia, MFT

• Optometrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.