Vaishali A Keswani, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-900145 Issued in IL

Practice address

3895 Clairemont Dr
San Diego, CA 92117-5833

Phone

(630) 803-5922

Fax

(858) 272-0026

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vaishali A Raja Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1487718151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 GREENWILLOW LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306841",
            "telephone_number": "630-803-5922",
            "fax_number": "858-272-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175833",
            "telephone_number": "630-803-5922",
            "fax_number": "858-272-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESWANI",
        "first_name": "VAISHALI",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-900145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAISHALI",
            "last_name": "RAJA",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Leigh Kesteloot
• Barbara Lee Kester
• Kirsten Kester, AUD
• Samira Kester, MFT
• Anil N Keswani, MD
• Audrey Ketcham, RBT
• Judy Hwang Ketcham, RN, FNP
• Adam Ketchesin
• Aiden Harrison Ketchum
• Katherine Clark Ketchum, M.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.