Individual provider Active NPI

Satpal Singh Multani, O.D.

  • Optometrist
  • San Bernardino, CA
National Provider Identifier
1194889675
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10385 T Issued in CA
Practice address
473 E Carnegie Dr
Suite 100
San Bernardino, CA 92408-4207
Phone
(909) 884-1838
Fax
(909) 884-0865
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 10385 T CA
Low Vision Rehabilitation Optometrist 152WL0500X 10385 T CA
Optometrist 152W00000X 10385 T CA Primary

Addresses

Primary practice location

473 E Carnegie Dr
Suite 100
San Bernardino, CA 92408-4207

Mailing address

473 E Carnegie Dr
Suite 100
San Bernardino, CA 92408-4207
Phone (909) 884-1838

Other identifiers 1

IdentifierTypeStateIssuer
SD0103851MedicaidCA

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
I20070813000389 CA Practitioner - Optometry 6305937855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 E Hospitality Lane
Suite B6
San Bernardino, CA 92408-3567

473 E Carnegie Dr
Suite 100
San Bernardino, CA 92408-4207
Phone (909) 884-1838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10385 TCAMDLow Vision Rehabilitation Optometrist

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1194889675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E CARNEGIE DR",
            "address_2": "SUITE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084207",
            "telephone_number": "909-884-1838",
            "fax_number": "909-884-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E CARNEGIE DR",
            "address_2": "SUITE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084207",
            "telephone_number": "909-884-1838",
            "fax_number": "909-884-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULTANI",
        "first_name": "SATPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10385 T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10385 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10385 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.