Active NPI
East Bay Eyecare Professionals, Inc.
- Ophthalmology Physician
- Fremont, CA
National Provider Identifier
1477872430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EAST BAY EYECARE PROFESSIONALS, INC.
- Practice address
- 1860 Mowry Ave
Suite 101
Fremont, CA 94538-1730 - Phone
- (510) 793-2020
- Fax
- (510) 793-0384
- NPI assigned
- May 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maskeen K. Sabharwal, M.D.
- Title
- President / Owner
- Phone
- (510) 793-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1860 Mowry Ave
Suite 101
Fremont, CA 94538-1730
Mailing address
1860 Mowry Ave
Suite 101
Fremont, CA 94538-1730
Phone (510) 793-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130524000458 | CA | DME Supplier - Physician - Ophthalmology | 8527253715 | Practice locations: Fremont, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1477872430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 MOWRY AVE",
"address_2": "SUITE 101",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381730",
"telephone_number": "510-793-2020",
"fax_number": "510-793-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 MOWRY AVE",
"address_2": "SUITE 101",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381730",
"telephone_number": "510-793-2020",
"fax_number": "510-793-0384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST BAY EYECARE PROFESSIONALS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "SABHARWAL",
"authorized_official_first_name": "MASKEEN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "510-793-2020",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- East Bay Ambulatory Surgery Center LLC
- East Bay Ambulatory Surgery Center, LLC
- East Bay Cardiology Inc
- East Bay Dermatology Medical Group Inc (Center for Dermatology Cosmetic & Laser Surgery)
- East Bay Eye Centers Medical Corporation (Mission Valley Surgery Center)
- East Bay Hand & Plastic Surgery Center Inc.
- East Bay Retina Consultants a Medical Group, Inc. (East Bay Retina Consultants, Inc.)
- East Bay Vision Center Optometry Inc
- East Bay Weight Control, Inc (Ameri-Cal Weight Clinic)
- Vaishvi D Ebrado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.