Individual provider Active NPI

Jabina Ramde, O.D.

  • Optometrist
  • Los Altos, CA
National Provider Identifier
1679684047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10635 Issued in CA
Practice address
286 State St
Los Altos, CA 94022-2813
Phone
(650) 948-6910
Fax
(650) 948-8645
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 10635 CA Primary

Addresses

Primary practice location

286 State St
Los Altos, CA 94022-2813

Mailing address

286 State St
Los Altos, CA 94022-2813
Phone (650) 948-6910

Other identifiers 1

IdentifierTypeStateIssuer
10635OtherCAOPTOMETRY LICENSE

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
I20090415000023 CA Practitioner - Optometry 0547317281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Lite Optometry, Inc. Optometrist CurrentSince Aug 6, 2017 Accepting new patients

Locations

286 State St
Los Altos, CA 94022
Phone (650) 948-6910

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679684047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910",
            "fax_number": "650-948-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222813",
            "telephone_number": "650-948-6910",
            "fax_number": "650-948-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMDE",
        "first_name": "JABINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "10635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.