Individual provider Active NPI

Ramy Saba, OD

  • Optometrist
  • Riverside, CA
National Provider Identifier
1871149476
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34336TLG Issued in CA
Practice address
2051 Galleria at Tyler
Riverside, CA 92503-4143
Phone
(909) 631-3261
NPI assigned
Aug 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34336TLG CA Primary

Addresses

Primary practice location

2051 Galleria at Tyler
Riverside, CA 92503-4143

Mailing address

2131 Collett Ave Unit 303
Corona, CA 92879-8630
Phone (909) 631-3261

Other practice location 1

12721 Moreno Beach Dr
Moreno Valley, CA 92555-4411
Phone (909) 631-3261

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
34336TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramy Saba O.D. Corporation Optometrist CurrentSince Aug 28, 2022 Accepting new patients
National Vision, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

12721 Moreno Beach Dr
Moreno Valley, CA 92555
Phone (951) 242-6599

Organizations & group practices 2

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1871149476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 COLLETT AVE UNIT 303",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798630",
            "telephone_number": "909-631-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GALLERIA AT TYLER",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034143",
            "telephone_number": "909-631-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12721 Moreno Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925554411",
            "country_code": "US",
            "telephone_number": "909-631-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABA",
        "first_name": "RAMY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34336TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.