San Pablo Optometric Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12274T Issued in CA

Legal business name

SAN PABLO OPTOMETRIC CENTER, INC.

Practice address

14240 San Pablo Ave
San Pablo, CA 94806-3328

Phone

(510) 232-3060

Fax

(510) 232-0377

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Juan Pablo Anaya, O.D.NPI 1619995800

Title

Owner/Optometrist

Phone

(510) 232-3060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Juan Pablo Anaya, O.D.

  • Optometrist
  • San Pablo, CA
  • NPI 1619995800
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1184882250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 SAN PABLO AVE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063328",
            "telephone_number": "510-232-3060",
            "fax_number": "510-232-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 SAN PABLO AVE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063328",
            "telephone_number": "510-232-3060",
            "fax_number": "510-232-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO OPTOMETRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "510-232-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12274T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0012274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Maltez Sampaio, MSW
• Harkaran Singh Samra, RN
• Jovitha Angeline Samy, FNP-C
• San Pablo Anesthesiology Medical Corporation
• San Pablo Healthcare & Wellness Center LLC
• Jasmin E Sanchez
• Sukhdeep Nauninder Singh Sandhu
• Adriana Karina Santos Ortiz
• Ruby Sapia
• Arian Alexandra Sarris, LMFT

• Optometrist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.