Individual provider Active NPI

Laila Osmani-Nejat

  • Optometrist
  • Newark, CA
National Provider Identifier
1205210804
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15316 Issued in CA
Practice address
1057 Newpark Mall
Newark, CA 94560-5238
Phone
(510) 299-4446
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15316 CA Primary

Addresses

Primary practice location

1057 Newpark Mall
Newark, CA 94560-5238

Mailing address

1057 Newpark Mall
Newark, CA 94560-5238

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
I20190613002617 CA Practitioner - Optometry 8022341627 Practice locations: Newark, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1205210804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 NEWPARK MALL",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 NEWPARK MALL",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605238",
            "telephone_number": "510-299-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANI-NEJAT",
        "first_name": "LAILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

Verify at the official NPI Registry.