Active NPI
Gina Christine Siri Alexander, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1962870089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15385
- Practice address
- 39355 California St
Suite #103
Fremont, CA 94538-1447 - Phone
- (510) 744-2010
- NPI assigned
- Sep 5, 2015
- 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 | 15385 | CA | Primary |
Addresses
Primary practice location
39355 California St
Suite #103
Fremont, CA 94538-1447
Mailing address
2234 Brega CT
Morgan Hill, CA 95037-3851
Phone (530) 680-7549
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 |
|---|---|---|---|
| 15385 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1962870089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 BREGA CT",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373851",
"telephone_number": "530-680-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39355 CALIFORNIA ST",
"address_2": "SUITE #103",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381447",
"telephone_number": "510-744-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "GINA",
"middle_name": "CHRISTINE SIRI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-05",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.