Active NPI
Sarah N Azmoodeh, OD
- Optometrist
- Corte Madera, CA
National Provider Identifier
1295551091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35879
- Practice address
- 500 Tamal PLZ Ste 503
Corte Madera, CA 94925-1184 - Phone
- (415) 925-9091
- NPI assigned
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 35879 | CA | Primary |
Addresses
Primary practice location
500 Tamal PLZ Ste 503
Corte Madera, CA 94925-1184
Mailing address
500 Tamal PLZ Ste 503
Corte Madera, CA 94925-1184
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 |
|---|---|---|---|
| 35879 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1295551091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 TAMAL PLZ STE 503",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TAMAL PLZ STE 503",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251184",
"telephone_number": "415-925-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZMOODEH",
"first_name": "SARAH",
"middle_name": "N",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-26",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.