Individual provider Active NPI

Rosio Uribe Sandoval, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1336818384
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34937 Issued in CA
Practice address
490 Illinois St
San Francisco, CA 94143-2510
Phone
(415) 353-2020
NPI assigned
Sep 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34937 CA Primary

Addresses

Primary practice location

490 Illinois St
San Francisco, CA 94143-2510

Mailing address

490 Illinois St
San Francisco, CA 94143-2510
Phone (415) 353-2020

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
I20220616001441 CA Practitioner - Optometry 3274912589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Optometry IncGroup PAC ID 8729234703, 2 clinicians

Practice addresses (Care Compare)

441 S Ham Lane
Suite B
Lodi, CA 95242
Phone (209) 224-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34937CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 12, 2022 Accepting new patients
Burke Optometry, Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
University of California San Francisco CurrentSince Aug 12, 2022 Accepting new patients
University of California San Francisco CurrentSince Aug 12, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 12, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

441 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 224-5454

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

490 Illinois St
San Francisco, CA 94143
Phone (415) 353-2020

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 8

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": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1336818384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-353-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-353-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ROSIO",
        "middle_name": "URIBE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.