California Ophthalmic Laser Associates, Medical PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CALIFORNIA OPHTHALMIC LASER ASSOCIATES, MEDICAL PC

Practice address

303 W Joaquin Ave
Suite 250
San Leandro, CA 94577-3642

Phone

(510) 895-9657

Fax

(510) 895-9680

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harold Gambill, M.D.

Title

Medical Director

Phone

(408) 398-6066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609083435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W JOAQUIN AVE",
            "address_2": "SUITE 250",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773642",
            "telephone_number": "510-895-9657",
            "fax_number": "510-895-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W JOAQUIN AVE",
            "address_2": "SUITE 250",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773642",
            "telephone_number": "510-895-9657",
            "fax_number": "510-895-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA OPHTHALMIC LASER ASSOCIATES, MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBILL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-398-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Calderon, MED
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• Gary Callahan-Smith
• Lakisha Nicole Callahan
• Patricia Labrie Calloway, RN
• Calmedics Medical Transportation
• Betty J Calvin, CRT,M

• Optometrist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.