Individual provider Active NPI

Malina Kindt

  • Optician
  • Palo Alto, CA
National Provider Identifier
1558146993
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
71177 Issued in CA
Practice address
415 University Ave
Palo Alto, CA 94301-1813
Phone
(650) 326-8415
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 71177 CA Primary

Addresses

Primary practice location

415 University Ave
Palo Alto, CA 94301-1813

Mailing address

112 Surrey CT
Milpitas, CA 95035-5018
Phone (669) 237-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
71177CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Optical Inc Optician CurrentSince Sep 5, 2023 Accepting new patients
Eyes of the Bay Optometry CurrentSince Apr 27, 2025 Accepting new patients

Locations

415 University Ave
Palo Alto, CA 94301
Phone (650) 326-8415

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1558146993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SURREY CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355018",
            "telephone_number": "669-237-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011813",
            "telephone_number": "650-326-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDT",
        "first_name": "MALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "71177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.