Bayshore Ophthalmic Care

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A144488 Issued in CA

Legal business name

BAYSHORE OPHTHALMIC CARE

Practice address

162 Clinton St
Redwood City, CA 94062-1552

Phone

(650) 369-2529

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Nisreen Kothari, MD

Title

Owner

Phone

(248) 760-9236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1912414673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KING ST UNIT 432",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075488",
            "telephone_number": "248-760-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CLINTON ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621552",
            "telephone_number": "650-369-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE OPHTHALMIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "NISREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-760-9236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A144488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.