Individual provider Active NPI

Somaia Gamal Nassef, O.D.

  • Optometrist
  • Antioch, CA
National Provider Identifier
1578016457
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33402 Issued in CA
Practice address
4893 Lone Tree Way
Antioch, CA 94531-8553
Phone
(925) 978-0296
NPI assigned
Jul 27, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33402 CA Primary

Addresses

Primary practice location

4893 Lone Tree Way
Antioch, CA 94531-8553

Mailing address

300 Gooding Way Apt 328
Albany, CA 94706-1949

Other practice location 1

3911 Piedmont Ave
Oakland, CA 94611-5351
Phone (510) 654-4747

Other practice location 2

1201D Larkspur Landing Cir
Larkspur, CA 94939-1807
Phone (415) 925-9091

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33402CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578016457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GOODING WAY APT 328",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318553",
            "telephone_number": "925-978-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115351",
            "country_code": "US",
            "telephone_number": "510-654-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201D Larkspur Landing Cir",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391807",
            "country_code": "US",
            "telephone_number": "415-925-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSEF",
        "first_name": "SOMAIA",
        "middle_name": "GAMAL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.