Active NPI
Angela Shahbazian, O.D.
- Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33516
- 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
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 | 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
Enrollment records 1
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
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
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
- ashahbazian252719@direct.ochin.org
- 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.
-
- Optometrist
- Berkeley, CA
- NPI 1306908058
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1285754234
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1417211426
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Community Health Clinic/Center
- Ontario, CA
- NPI 1154788560
-
- Community Health Clinic/Center
- Ontario, CA
- NPI 1154860963
-
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
- NPI 1043331630
-
- Federally Qualified Health Center (FQHC)
- Berkeley, CA
- NPI 1184744138
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.