Individual provider Active NPI

Angela Shahbazian, O.D.

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1891147161
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33516 Issued in CA
Practice address
230 Minor HL
Berkeley, CA 94720-2020
Phone
(510) 642-2020
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33516 CA Primary

Addresses

Primary practice location

230 Minor HL
Berkeley, CA 94720-2020

Mailing address

230 Minor HL
Berkeley, CA 94720-2020

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
I20160825002695 CA Practitioner - Optometry 4284929506 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
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
The West Oakland Health CouncilGroup PAC ID 9537062302, 27 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Berkeley, CA 94720-2020

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Pomona Community Health Center CurrentSince Apr 3, 2024 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2021 Accepting new patients
Pomona Community Health Center Current Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
The West Oakland Health Council Current Accepting new patients
Pomona Community Health Center CurrentSince Apr 3, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2021 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Aug 1, 2016 Accepting new patients
The West Oakland Health Council CurrentSince Oct 17, 2017 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Mar 1, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2021 Accepting new patients
The West Oakland Health Council CurrentSince Oct 17, 2017 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

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

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

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

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

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1556 S Sultana Ave
Ontario, CA 91761
Phone (909) 418-6923

1450 E Holt Ave
Pomona, CA 91767

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

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

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

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

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ashahbazian252719@direct.ochin.org
  • Direct secure messaging: ashahbazian166669@direct-ucsfmedicalcenter.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1891147161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MINOR HL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MINOR HL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202020",
            "telephone_number": "510-642-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZIAN",
        "first_name": "ANGELA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.