Active NPI
Andrawis Majdi Zada, OD
- Student in an Organized Health Care Education/Training Program
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 353 2ND St
Davis, CA 95616-4607 - Phone
- (530) 758-2122
- NPI assigned
- Apr 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
353 2ND St
Davis, CA 95616-4607
Mailing address
1144 Pebblewood Way
San Mateo, CA 94403-4914
Phone (650) 274-1709
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
353 2ND St
Davis, CA 95616-4607
Phone (530) 758-2122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tedder Optometric Corporation, PC | Current | Accepting new patients | |
| Hansra Optometric Corporation | Current | Accepting new patients | |
| Helmus Optometry | Current | Accepting new patients | |
| Helmus Optometry | Past | Accepting new patients |
Locations
353 2nd St
Davis, CA 95616
Phone (530) 758-2122
825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202
23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524
1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170
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.
-
- Optometrist
- Davis, CA
- NPI 1922442680
-
- Optometrist
- Lake Forest, CA
- NPI 1679262158
-
- Optometrist
- Davis, CA
- NPI 1083816417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649548800000",
"number": "1174265169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 PEBBLEWOOD WAY",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034914",
"telephone_number": "650-274-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 2ND ST",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164607",
"telephone_number": "530-758-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADA",
"first_name": "ANDRAWIS",
"middle_name": "MAJDI",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-10",
"last_updated": "2022-04-10",
"certification_date": "2022-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.