Eliasieh Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ELIASIEH MEDICAL CORPORATION

Doing business as

Lunata

Practice address

3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049

Phone

(510) 899-7466

Fax

(510) 899-6024

NPI assigned

Apr 5, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kasra Eliasieh, MDNPI 1194954677

Title

Owner

Phone

(510) 899-7466

Specialties & licenses 2

Addresses

Other names 1

• Lunata Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kasra Eliasieh, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Berkeley, CA
  • NPI 1194954677

  Ophthalmology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1306698816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "510-899-7466",
            "fax_number": "510-899-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "510-899-7466",
            "fax_number": "510-899-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIASIEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ELIASIEH",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-899-7466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lunata",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John B Elford
• Selsabeel Elghandour
• Manuel Martin Elguera
• Alaa Elhaj, MD
• Broheen Joseph Elias, PA-C
• Kasra Eliasieh, M.D.
• Neda G Elijah, OD
• Alexandra M. Elite, LCSW
• Elizabeth Slass Lee a Medical Corporation
• Ellen Bier Physical Therapy

• Ophthalmology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.