Active NPI
Robert Alan Pfost, OD
- Corneal and Contact Management Optometrist
- Oakland, CA
National Provider Identifier
1790810364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 5316T
- Practice address
- 3205 Grand Ave
Oakland, CA 94610-2740 - Phone
- (510) 444-0666
- Fax
- (510) 463-2222
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 5316T | CA | Primary |
Addresses
Primary practice location
3205 Grand Ave
Oakland, CA 94610-2740
Mailing address
3205 Grand Ave
Oakland, CA 94610-2740
Phone (510) 444-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0053160 | Medicaid | CA |
Other names 1
- Mr. Robert A Pfost
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5316T | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790810364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 GRAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102740",
"telephone_number": "510-444-0666",
"fax_number": "510-463-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 GRAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102740",
"telephone_number": "510-444-0666",
"fax_number": "510-463-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFOST",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "5316T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0053160",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "PFOST",
"middle_name": "A",
"prefix": "MR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.