Individual provider Active NPI

Zipporah Balete, OD

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1851971980
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34796 Issued in CA
Practice address
1700 S Bradley Rd
Santa Maria, CA 93454-8001
Phone
(805) 925-1092
Fax
(805) 925-4664
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34796 CA Primary

Addresses

Primary practice location

1700 S Bradley Rd
Santa Maria, CA 93454-8001

Mailing address

1700 S Bradley Rd
Santa Maria, CA 93454-8001
Phone (805) 925-1092

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34796CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ali OD and Patel OD Professional Optometric Corporation Optometrist Current Accepting new patients

Locations

1700 S Bradley Rd
Santa Maria, CA 93454
Phone (805) 922-3430

Organizations & group practices 1

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1851971980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S BRADLEY RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548001",
            "telephone_number": "805-925-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BRADLEY RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548001",
            "telephone_number": "805-925-1092",
            "fax_number": "805-925-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALETE",
        "first_name": "ZIPPORAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.