Active NPI
Ursula Moonsamy, O.D.
- Optometrist
- Oakland, CA
National Provider Identifier
1902969447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10907T
- Practice address
- 3341 Lakeshore Ave
Oakland, CA 94610-2305 - Phone
- (510) 832-3937
- NPI assigned
- Dec 18, 2006
- 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 | 10907T | CA | Primary |
Addresses
Primary practice location
3341 Lakeshore Ave
Oakland, CA 94610-2305
Mailing address
3341 Lakeshore Ave
Oakland, CA 94610-2305
Phone (510) 832-3937
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 |
|---|---|---|---|---|
| I20080312000271 | CA | Practitioner - Optometry | 9436234614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10907T | CA | MD | Optometrist |
| 10907 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1902969447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 LAKESHORE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102305",
"telephone_number": "510-832-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 LAKESHORE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102305",
"telephone_number": "510-832-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONSAMY",
"first_name": "URSULA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10907T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.