Sana Shakil-Ansari, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

14762TLG Issued in CA

Practice address

18876 Van Buren Blvd Ste 204
Riverside, CA 92508-9114

Phone

(951) 498-3937

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sana Shakil Other name

Medicare fee-for-service enrollment

Enrolled in NJ, CA2 enrollments

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 2

Specialty

Optometry

Education

Western University of Health Sciences College of Dental Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sana Shakil-Ansari O.D. Inc

  • Optometrist
  • Riverside, CA
  • NPI 1720787070
  Medicare reassignment NPD Authorized official
• Optometric Physicians of Middletown PA

  • Optometrist
  • Middletown, NJ
  • NPI 1457354037
  Medicare reassignment NPD
• Optometric Physicians of Middletown PA

  • Optometrist
  • Toms River, NJ
  • NPI 1801474960
  NPD

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1740694868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18876 VAN BUREN BLVD STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089114",
            "telephone_number": "951-498-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18876 VAN BUREN BLVD STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089114",
            "telephone_number": "951-498-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11346 Mountain View Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543833",
            "country_code": "US",
            "telephone_number": "909-913-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKIL-ANSARI",
        "first_name": "SANA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14762TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00652700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANA",
            "last_name": "SHAKIL",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anmol Shahzadi, PHARMACY STUDENT
• Mohammed Shaikh, DDS
• Nat R Shain, D.D.S.
• Mangala C Shaker, M.D.
• Mena Shaker, PHARM.D.
• Mohtasham Shalikar
• Travon Shallowhorn
• Shams Iqbal Inc
• Jason Shan
• Shanee M Brown

• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.