Individual provider Active NPI

Maryam Nassiri Tousi

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1871258210
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35033 Issued in CA
Practice address
200 Minor Hall
Berkeley, CA 94720-0001
Phone
(510) 642-2020
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 35033 CA Primary

Addresses

Primary practice location

200 Minor Hall
Berkeley, CA 94720-0001

Mailing address

2640 Shattuck Avenue Apt 404
Berkeley, CA 94704
Phone (617) 717-8438

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909000923 CA Practitioner - OptometryPractitioner - Ophthalmology 9638554736 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Berkeley, CA 94720-2020

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

664 Southland Mall
Hayward, CA 94545-2150
Phone (510) 266-1700

6955 Foothill Blvd
Oakland, CA 94605-2426
Phone (510) 567-5704

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 14, 2024 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Sep 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 14, 2024 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jul 26, 2022 Accepting new patients
City & County of San Francisco CurrentSince Jul 26, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 14, 2024 Accepting new patients
Alameda Health System Current Accepting new patients
University of California San Francisco CurrentSince Jun 14, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Bay Area Community Health PastSince Feb 5, 2026 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

3100 San Pablo Ave
Fl 4
Berkeley, CA 94702
Phone (415) 353-8299

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mnassiritousi187152@direct-ucsfmedicalcenter.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1871258210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 SHATTUCK AVENUE APT 404",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "617-717-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MINOR HALL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947200001",
            "telephone_number": "510-642-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIRI TOUSI",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.