Individual provider Active NPI

Huma Siddiqui

  • Optometrist
  • Ashland, CA
National Provider Identifier
1619233285
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14469TLG Issued in CA
Practice address
16110 E 14TH St
Ashland, CA 94578-3002
Phone
(510) 471-5880
NPI assigned
Apr 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14469TLG CA Primary

Addresses

Primary practice location

16110 E 14TH St
Ashland, CA 94578-3002

Mailing address

16110 E 14TH St
Ashland, CA 94578-3002
Phone (510) 471-5880

Other practice location 1

22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880

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
I20181210001399 CA Practitioner - Optometry 3971741588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14469CAMDAddiction (Substance Use Disorder) Counselor
14469TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Jun 20, 2020 Accepting new patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Jun 20, 2020 Accepting new patients
Tiburcio Vasquez Health Center, Inc. Current Accepting new patients

Locations

16110 E 14th St
Ashland, CA 94578
Phone (510) 398-7500

33255 9th St
Union City, CA 94587
Phone (510) 690-6052

Organizations & group practices 3

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": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1619233285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22331 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413911",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "HUMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14469TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, CA

Sources for this page

Verify at the official NPI Registry.