Active NPI
Fazila Malik, O.D.
- Optometrist
- San Francisco, CA
National Provider Identifier
1952741282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14699
- Practice address
- 383 Sacramento St
San Francisco, CA 94111-3601 - Phone
- (415) 781-2020
- Fax
- (415) 391-2502
- NPI assigned
- Jul 1, 2013
- Last updated
- Jul 10, 2013
- 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 | 14699 | CA | Primary |
Addresses
Primary practice location
383 Sacramento St
San Francisco, CA 94111-3601
Mailing address
11 Tidewater Dr
Redwood City, CA 94065-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14699 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1952741282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TIDEWATER DR",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113601",
"telephone_number": "415-781-2020",
"fax_number": "415-391-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "FAZILA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.