Individual provider Active NPI

Nahid Abdali, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1700210242
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14761 TLG Issued in CA
Practice address
5801 Norris Canyon Rd
Suite #200
San Ramon, CA 94583-5440
Phone
(925) 830-8823
NPI assigned
Aug 31, 2013
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14761 TLG CA Primary

Addresses

Primary practice location

5801 Norris Canyon Rd
Suite #200
San Ramon, CA 94583-5440

Mailing address

5801 Norris Canyon Rd
Suite #200
San Ramon, CA 94583-5440
Phone (925) 830-8823

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
I20140102001514 CA Practitioner - Optometry 2961630637 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14761 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jul 10, 2023 Accepting new patients
Golden Valley Health Center CurrentSince Jul 10, 2023 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
East Bay Eye Centers Medical Corporation CurrentSince Nov 3, 2014 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 384-6495

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

302 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1524 McHenry Ave
Ste 535
Modesto, CA 95350
Phone (209) 526-0462

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-8441

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

5801 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 830-8823

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1700210242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD",
            "address_2": "SUITE #200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD",
            "address_2": "SUITE #200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALI",
        "first_name": "NAHID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14761 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.