Active NPI
Ketul Joshi, OD
- Optometrist
- Pleasanton, CA
National Provider Identifier
1922048537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12154TLG
- Practice address
- 4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772 - Phone
- (925) 227-0400
- Fax
- (925) 227-0730
- NPI assigned
- Jun 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12154 | CA | |
| Optometrist | 152W00000X | 12154TLG | CA | Primary |
Addresses
Primary practice location
4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772
Mailing address
4825 Hopyard Rd Ste F1
Pleasanton, CA 94588-2772
Phone (925) 227-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12154 | CA | MD | Optometrist |
| 12154TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through the Hayes Optometry Inc | Optometrist | Past | Accepting new patients |
| Dr. Gary Gold & Associates Optometry | Optometrist | Past | Accepting new patients |
| Fremont Optometric Group | Optometrist | Past | Accepting new patients |
| Hacienda Park Optometry, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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
- Sunnyvale, CA
- NPI 1598936585
-
- Optometrist
- Fremont, CA
- NPI 1619991080
-
- Optometrist
- Pleasanton, CA
- NPI 1689932840
-
- Optometrist
- Sunnyvale, CA
- NPI 1417848029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922048537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 HOPYARD RD STE F1",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882772",
"telephone_number": "925-227-0400",
"fax_number": "925-227-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 HOPYARD RD STE F1",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882772",
"telephone_number": "925-227-0400",
"fax_number": "925-227-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSHI",
"first_name": "KETUL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2023-03-07",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12154",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12154TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.