Active NPI
Valery Medina, OD
- Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35640-TLG
- Practice address
- 200 Minor Hall
Berkeley, CA 94720-4501 - Phone
- (510) 642-6123
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPT35640-TLG | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | ATI4672 | OR |
Addresses
Primary practice location
200 Minor Hall
Berkeley, CA 94720-4501
Mailing address
66 Emery Bay Dr
Emeryville, CA 94608-2920
Phone (949) 887-2985
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Minor Hall
Suite 384a
Berkeley, CA 94720-2020
Phone (510) 642-2020
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
400 Parnassus Ave
San Francisco, CA 94143-2202
664 Southland Mall
Hayward, CA 94545-2150
Phone (510) 266-1700
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4672 | OR | MD | Dentist |
| OPT35640-TLG | CA | MD | Optometrist |
| ATI4672 | OR | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Regents of the University of California at Berkeley | Optometrist | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients |
Locations
200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945
200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
Organizations & group practices 9
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1144924804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 EMERY BAY DR",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082920",
"telephone_number": "949-887-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MINOR HALL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947204501",
"telephone_number": "510-642-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "VALERY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35640-TLG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OR",
"license": "ATI4672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.