Active NPI
Sagar Girish Shah, O.D.
- Optometrist
- Emeryville, CA
National Provider Identifier
1891073631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14267
- Practice address
- 5707 Christie Ave
Emeryville, CA 94608 - Phone
- (510) 547-8301
- NPI assigned
- Jul 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14267 | CA | Primary |
Addresses
Primary practice location
5707 Christie Ave
Emeryville, CA 94608
Mailing address
5707 Christie Ave
Emeryville, CA 94608
Phone (510) 547-8301
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111129000043 | CA | Practitioner - Optometry | 9133393341 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1891073631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 CHRISTIE AVE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-547-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 CHRISTIE AVE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-547-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SAGAR",
"middle_name": "GIRISH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-27",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.