Omera Naz, D D S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52139 Issued in CA

Practice address

4440 San Pablo Dam Rd
Ste # a
El Sobrante, CA 94803-3052

Phone

(510) 223-5676

NPI assigned

Apr 26, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518187293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N RANCHO CT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948031152",
            "telephone_number": "510-222-5157",
            "fax_number": "510-222-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SAN PABLO DAM RD",
            "address_2": "STE # A",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033052",
            "telephone_number": "510-223-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZ",
        "first_name": "OMERA",
        "name_prefix": "Dr.",
        "credential": "D D S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena F Meyer, RN, IBCLC
• Sarah Mitchell
• Bianca Dolores Montanez
• Adam Morgenthaler
• Elana Morgulis
• Taylor Angele Newton
• Linda Ngo
• Mustafa Ahmad Nizami
• Jennifer Veronica Nunez
• Samantha Magdalena Ochoa Elias

• General Practice Dentistry in El Sobrante, CA
• Providers in El Sobrante, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.