Individual provider Active NPI

Ketul Joshi, OD

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1922048537
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12154TLG Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12154CAMDOptometrist
12154TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Hayes Optometry Inc Optometrist PastSince Jul 13, 2025 Accepting new patients
Dr. Gary Gold & Associates Optometry Optometrist PastSince Jan 1, 2016 Accepting new patients
Fremont Optometric Group Optometrist Past Accepting new patients
Hacienda Park Optometry, Inc Optometrist PastSince Oct 1, 2017 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.

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

Verify at the official NPI Registry.