Elsa Pao OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELSA PAO OD INC

Practice address

901 Franklin St Ste 68
Oakland, CA 94607-4476

Phone

(510) 238-9797

NPI assigned

Jul 7, 2010

Organization subpart

No

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

Authorized official

Name

Elsa Pao, ODNPI 1932112612

Title

Owner

Phone

(510) 238-9797

Specialties & licenses 1

Addresses

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.

• Elsa T Pao, OD

  • Optometrist
  • Oakland, CA
  • NPI 1932112612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1386956308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FRANKLIN ST STE 68",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074476",
            "telephone_number": "510-238-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRANKLIN ST STE 68",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074476",
            "telephone_number": "510-238-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA PAO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "PAO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-238-9797",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mae Ellison
• Tamara Abarca Ellsworth
• Russell Murray Ellyson, DO
• Ruby Elmer
• Jasmine Elmiari, PHARMD
• Mayada Elshiek
• Martha Jane Elster, M.D.
• Ameir A Eltom, DDS
• Elton Y. Wong (New Chinatown Pharmacy)
• Joshua Ely

• Optometrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.