Individual provider Active NPI

Payam Zarehbin, O.D

  • Optometrist
  • Oakland, CA
National Provider Identifier
1164428942
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11992 TPA Issued in CA
Practice address
3301 E 12TH St
Ste 109
Oakland, CA 94601-2943
Phone
(510) 533-6567
Fax
(510) 533-6566
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11992 TPA CA Primary

Addresses

Primary practice location

3301 E 12TH St
Ste 109
Oakland, CA 94601-2943

Mailing address

3301 E 12TH St
Ste 109
Oakland, CA 94601-2943
Phone (510) 533-6567

Other identifiers 1

IdentifierTypeStateIssuer
SD0119920MedicaidCA

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
I20040209001305 CA Practitioner - Optometry 4385538552 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3301 E 12TH St
Suite 109
Oakland, CA 94601-2943
Phone (510) 533-6567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11992 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Payam Zarehbin Optometrist PastSince Apr 4, 2004 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1164428942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "STE 109",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012943",
            "telephone_number": "510-533-6567",
            "fax_number": "510-533-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "STE 109",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012943",
            "telephone_number": "510-533-6567",
            "fax_number": "510-533-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREHBIN",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11992 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.