Individual provider Active NPI

Rosalia Saavedra, O.D.

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1518929520
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10781T Issued in CA
Practice address
157 Parrott St
San Leandro, CA 94577-4813
Phone
(510) 483-4770
Fax
(510) 351-5008
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10781T CA Primary

Addresses

Primary practice location

157 Parrott St
San Leandro, CA 94577-4813

Mailing address

157 Parrott St
San Leandro, CA 94577-4813
Phone (510) 483-4770

Other identifiers 1

IdentifierTypeStateIssuer
CJ896AOtherCAPTAN

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
I20051028000629 CA Practitioner - Optometry 5395762488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosalia Saavedra OD a Professional CorporationGroup PAC ID 0648550780, 3 clinicians

Practice addresses (Care Compare)

157 Parrott St
San Leandro, CA 94577-4813
Phone (510) 483-4770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10781TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosalia Saavedra,OD a Professional Corporation Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

157 Parrott St
San Leandro, CA 94577
Phone (510) 483-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1518929520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARROTT ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774813",
            "telephone_number": "510-483-4770",
            "fax_number": "510-351-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARROTT ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774813",
            "telephone_number": "510-483-4770",
            "fax_number": "510-351-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "ROSALIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10781T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CJ896A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.