Individual provider Active NPI

Caroline Yargo Basta, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1477336329
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35574 Issued in CA
Practice address
2100 Arden Way Ste 103
Sacramento, CA 95825-2216
Phone
(279) 214-0185
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35574 CA Primary

Addresses

Primary practice location

2100 Arden Way Ste 103
Sacramento, CA 95825-2216

Mailing address

6242 Arctic Loon Way
Rocklin, CA 95765-4778
Phone (916) 741-1400

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
I20230906003593 CA Practitioner - Optometry 0143684365 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solano Eye Care an Optometric CorporationGroup PAC ID 9830299940, 3 clinicians

Practice addresses (Care Compare)

1329 Oliver Rd
Fairfield, CA 94534-3470
Phone (707) 429-0301

2687 Castro Valley Blvd
Castro Valley, CA 94546-5409
Phone (510) 581-1553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35574CAMDGeneral Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Dynamics Optometric Center Optometrist CurrentSince Nov 4, 2024 Accepting new patients
Hansra Optometric Corporation CurrentSince Sep 17, 2023 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist Current Accepting new patients
Solano Eye Care an Optometric Corporation Optometrist CurrentSince Jul 28, 2024 Accepting new patients
Tedder Optometric Corporation, PC Optometrist CurrentSince Sep 17, 2023 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist CurrentSince Jul 28, 2024 Accepting new patients

Locations

2687 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 538-3937

417 Sycamore Valley Rd W
Danville, CA 94526
Phone (925) 838-3021

1329 Oliver Rd
Fairfield, CA 94534
Phone (707) 429-0301

825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202

23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524

1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170

2100 Arden Way
Ste 103
Sacramento, CA 95825
Phone (279) 214-0185

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 933-1344

Interoperability endpoints

  • Direct secure messaging: 117162@visionworks.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1477336329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 ARCTIC LOON WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654778",
            "telephone_number": "916-741-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ARDEN WAY STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252216",
            "telephone_number": "279-214-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "CAROLINE",
        "middle_name": "YARGO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.