Individual provider Active NPI

Jennifer Sablad, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1710214952
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13727 Issued in CA
Practice address
2018 Flintcrest CT
San Jose, CA 95148-1227
Phone
(408) 250-1753
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13727 CA Primary

Addresses

Primary practice location

2018 Flintcrest CT
San Jose, CA 95148-1227

Mailing address

2018 Flintcrest CT
San Jose, CA 95148-1227
Phone (408) 250-1753

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
I20100201000676 CA Practitioner - Optometry 0143363093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrup Kaur MD IncGroup PAC ID 4880878842, 6 clinicians

Practice addresses (Care Compare)

5330 Camden Ave
San Jose, CA 95124-5828
Phone (408) 940-3930

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.62

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
94.87
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrup Kaur, MD, Inc. CurrentSince Apr 25, 2022 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Network, LLC PastSince Apr 25, 2022 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

7652 Monterey St
#B
Gilroy, CA 95020
Phone (408) 842-2500

555 Knowles Dr
Ste 117
Los Gatos, CA 95032
Phone (408) 292-8800

5330 Camden Ave
San Jose, CA 95124
Phone (408) 267-7111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1710214952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 FLINTCREST CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481227",
            "telephone_number": "408-250-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 FLINTCREST CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481227",
            "telephone_number": "408-250-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLAD",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.