Individual provider Active NPI

Rubens Xhemalaj, OD

  • Optometrist
  • Davis, CA
National Provider Identifier
1437811031
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35050 Issued in CA
Practice address
2019 Anderson Rd Ste C
Davis, CA 95616-0773
Phone
(530) 756-5050
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35050 CA Primary

Addresses

Primary practice location

2019 Anderson Rd Ste C
Davis, CA 95616-0773

Mailing address

2019 Anderson Rd Ste C
Davis, CA 95616-0773
Phone (530) 756-5050

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
I20211018001767 CA Practitioner - Optometry 9830597194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Optometry IncGroup PAC ID 0042540734, 4 clinicians

Practice addresses (Care Compare)

2019 Anderson Rd
Suite C
Davis, CA 95616-0773
Phone (530) 219-6917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Optometry, Inc. Optometrist CurrentSince Oct 13, 2021 Accepting new patients

Locations

2019 Anderson Rd
Ste C
Davis, CA 95616
Phone (530) 219-6917

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1437811031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 ANDERSON RD STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160773",
            "telephone_number": "530-756-5050",
            "fax_number": "530-204-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 ANDERSON RD STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160773",
            "telephone_number": "530-756-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XHEMALAJ",
        "first_name": "RUBENS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.