Active NPI
Fadi Khalil
- Optometrist
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35916
- Practice address
- 3958 Castro Valley Blvd Apt 34
Castro Valley, CA 94546-6029 - Phone
- (510) 517-5235
- NPI assigned
- Feb 14, 2025
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35916 | CA | Primary |
Addresses
Primary practice location
3958 Castro Valley Blvd Apt 34
Castro Valley, CA 94546-6029
Mailing address
3958 Castro Valley Blvd Apt 34
Castro Valley, CA 94546-6029
Phone (510) 517-5235
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5515 Geary Blvd
San Francisco, CA 94121-2208
Phone (415) 387-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penza & Morioka Optometry Inc | Optometrist | Current | Accepting new patients |
| Total Vision PC | Optometrist | Current | Accepting new patients |
| J Pietrantonio OD Inc | Optometrist | Past | Accepting new patients |
Locations
233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
1730 Novato Blvd
Ste C
Novato, CA 94947
Phone (415) 897-1161
5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553
530 Bush St
Ste 101
San Francisco, CA 94108
Phone (415) 291-8560
Organizations & group practices 3
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": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1184429029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3958 CASTRO VALLEY BLVD APT 34",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466029",
"telephone_number": "510-517-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3958 CASTRO VALLEY BLVD APT 34",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466029",
"telephone_number": "510-517-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "FADI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.