Individual provider Active NPI

Faiza Dossa Vipul, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1366507212
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12922 Issued in CA
Practice address
900 Bush St
220
San Francisco, CA 94109-8714
Phone
(415) 609-6796
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12922 CA Primary

Addresses

Primary practice location

900 Bush St
220
San Francisco, CA 94109-8714

Mailing address

1799 4TH St Ste E
Berkeley, CA 94710-1741
Phone (510) 559-8181

Other names 1

  • Faiza Dossa Former name

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
I20060111000725 CA Practitioner - Optometry 6305869744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1799 4TH St
Suite E
Berkeley, CA 94710-1741
Phone (510) 559-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12922CAMDPediatric Occupational Therapist

Organizations & group practices 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1366507212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 4TH ST STE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101741",
            "telephone_number": "510-559-8181",
            "fax_number": "510-559-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BUSH ST",
            "address_2": "220",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941098714",
            "telephone_number": "415-609-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPUL",
        "first_name": "FAIZA",
        "middle_name": "DOSSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAIZA",
            "last_name": "DOSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.