Individual provider Active NPI

Patricia Rivera Hernandez, O.D.

  • Optometrist
  • Oakland, CA
National Provider Identifier
1609824705
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10329T Issued in CA
Practice address
1960 Broadway
Oakland, CA 94612-2206
Phone
(510) 893-5566
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10329T CA Primary

Addresses

Primary practice location

1960 Broadway
Oakland, CA 94612-2206

Mailing address

398 Adams St
#207
Oakland, CA 94610-3155
Phone (510) 444-6243

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
I20250123003087 CA Practitioner - Optometry 9234431974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3301 E 12TH St
Suite 109
Oakland, CA 94601-2943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10329TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Hernandez Optometric Center Inc Optometrist Current Accepting new patients
Oakland Vision Center Optometrist Past Accepting new patients
Tanya N Gill Optometric, Inc. Optometrist PastSince Nov 1, 2007 Accepting new patients
Payam Zarehbin Optometrist PastSince Dec 19, 2024 Accepting new patients

Organizations & group practices 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1609824705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ADAMS ST",
            "address_2": "#207",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103155",
            "telephone_number": "510-444-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122206",
            "telephone_number": "510-893-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PATRICIA",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10329T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.