Active NPI
Andrew Mah, O.D.
- Optometrist
- San Ramon, CA
National Provider Identifier
1497286496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33628
- Practice address
- 2837 Yosemite Ave
San Ramon, CA 94583-3438 - Phone
- (925) 818-5704
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33628 | CA | Primary |
| Optometrist | 152W00000X | 60707338 | WA |
Addresses
Primary practice location
2837 Yosemite Ave
San Ramon, CA 94583-3438
Mailing address
2837 Yosemite Ave
San Ramon, CA 94583-3438
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60707338 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doris H Wong Optometric Corporation | Optometrist | Current | Accepting new patients |
Locations
175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202
Interoperability endpoints
- amah@mhec.updoxdirect.com
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.
-
- Optometrist
- Pleasanton, CA
- NPI 1457773822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1497286496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 YOSEMITE AVE",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945833438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 YOSEMITE AVE",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945833438",
"telephone_number": "925-818-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAH",
"first_name": "ANDREW",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33628",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60707338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.