Individual provider Active NPI

Sara Prasertsit

  • Ophthalmology Physician
  • Fremont, CA
National Provider Identifier
1730321423
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A121344 Issued in CA
Practice address
3200 Kearney St
Fremont, CA 94538-2299
Phone
(510) 498-2857
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A121344 CA Primary

Addresses

Primary practice location

3200 Kearney St
Fremont, CA 94538-2299

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 498-2857

Other practice location 1

38707 Stivers St
Suite B
Fremont, CA 94536-5337
Phone (510) 794-0660

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
I20120808000959 CA Practitioner - Ophthalmology 8527214436 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Dental Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

4050 Dublin Blvd
Dublin, CA 94568-3112
Phone (925) 875-6100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121344CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Kenneth C. Low MD a Professional Corporation Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 4, 2016 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 4, 2016 Accepting new patients
Riverside Medical Group PC Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

4050 Dublin Blvd
Dublin, CA 94568
Phone (925) 875-6100

38707 Stivers St
Fremont, CA 94536
Phone (510) 794-0660

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

38707 Stivers St
#B
Fremont, CA 94536
Phone (510) 792-0795

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: sprasertsit13761@direct.whhs.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1730321423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-498-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KEARNEY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382299",
            "telephone_number": "510-498-2857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38707 Stivers St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945365337",
            "country_code": "US",
            "telephone_number": "510-794-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASERTSIT",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A121344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.