Active NPI
Stephanie Nishimura Baba, O.D.
- Optometrist
- Alameda, CA
National Provider Identifier
1255328555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6525T
- Practice address
- 401 McDonnel Rd
Alameda, CA 94502-7748 - Phone
- (510) 865-9095
- Fax
- (510) 880-0500
- NPI assigned
- Oct 2, 2005
- Sex
- Female
- 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 | 6525T | CA | Primary |
Addresses
Primary practice location
401 McDonnel Rd
Alameda, CA 94502-7748
Mailing address
401 McDonnel Rd
Alameda, CA 94502-7748
Phone (510) 865-9095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6525T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1255328555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MCDONNEL RD",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945027748",
"telephone_number": "510-865-9095",
"fax_number": "510-880-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MCDONNEL RD",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945027748",
"telephone_number": "510-865-9095",
"fax_number": "510-880-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABA",
"first_name": "STEPHANIE",
"middle_name": "NISHIMURA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-02",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6525T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.