Individual provider Active NPI

Iryna Anatoliyevna Falkenstein, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Oakland, CA
National Provider Identifier
1639303118
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
C145657 Issued in CA
Practice address
491 30TH St Ste 103
Oakland, CA 94609
Phone
(510) 763-9775
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X C145657 CA Primary
Ophthalmology Physician 207W00000X 254349 MA

Addresses

Primary practice location

491 30TH St Ste 103
Oakland, CA 94609

Mailing address

491 30TH St Ste 103
Oakland, CA 94609-3235
Phone (510) 763-9775

Other practice location 1

711 Van Ness Ave Ste 330
San Francisco, CA 94102-3285
Phone (415) 771-4020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003722 CA Practitioner - Ophthalmology 5799931556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C145657CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Organizations & group practices 7

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1639303118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 30TH ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093235",
            "telephone_number": "510-763-9775",
            "fax_number": "510-763-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 30TH ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-763-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Van Ness Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023285",
            "country_code": "US",
            "telephone_number": "415-771-4020",
            "fax_number": "415-771-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKENSTEIN",
        "first_name": "IRYNA",
        "middle_name": "ANATOLIYEVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "C145657",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "254349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.