DR. PETER DISALVO (NPI# 1114088796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114088796 |
| Entity Type | Individual |
| Full Name | DR. PETER DISALVO |
| Credential | OD |
| Practice Address |
8105 Edgewater Dr Ste 1 Oakland CA 94621-2028 |
| Mailing Address |
512 Seaview Dr El Cerrito CA 94530-3351 |
| Practice Telephone | 5106326951 |
| Mailing Telephone | 5105278017 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CA5653T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0056530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366566804 | Peter John Disalvo | Dentist | 9977 State Route 185, Versailles, OH 45380-9568 | 2007-03-19 |
| 1972977700 | Peter Disalvo | Physical Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-11-17 |
| Street Address |
8105 EDGEWATER DR STE 1 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94621-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073541777 | Hamid Amiri | Dentist | 8105 Edgewater Dr, Suite 124, Oakland, CA 94621-2028 | 2006-06-29 |
| 1942743745 | Danny's Home Health Care Inc. | Home Health | 8105 Edgewater Dr, Suite 102, Oakland, CA 94621-2028 | 2016-11-28 |
| 1265638092 | Melvyn D Wilson | Dentist | 8105 Edgewater Dr, 122, Oakland, CA 94621-2028 | 2007-06-27 |
| 1700903622 | Syed Farid Akhtar | Dentist | 8105 Edgewater Dr, Oakland, CA 94621-2028 | 2007-03-24 |
| 1235204306 | Bing-hong Bu | Dentist | 8105 Edgewater Dr, Suite 250, Oakland, CA 94621-2028 | 2006-11-22 |
| 1306910864 | Hans Facer | Dentist | 8105 Edgewater Dr, Suite 250, Oakland, CA 94621-2028 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1760931968 | Maria Martinez | Counselor | 8330 Birch St., Apt. A, Oakland, CA 94621 | 2016-09-28 |
| 1902231301 | East Bay Agencey for Children | Community/Behavioral Health | 1025 81st Ave, Oakland, CA 94621 | 2013-09-05 |
| 1710268016 | Srideep Chatterjee | Pharmacist | 8102 E 14 Th Street, Oakland, CA 94621 | 2011-08-31 |
| 1285953943 | Martin Pacheco | Counselor | 333 Hegenberger Road #600, Oakland, CA 94621 | 2010-05-20 |
| 1821234816 | Raul Mark Miranda Grageda | Physical Therapist | 7817 Oakport Street, Oakland, CA 94621 | 2008-12-23 |
| 1306032156 | Adrienne Claire Lopez Tiley | Counselor | 401 Roland Way Suite 100, Oakland, CA 94621 | 2007-09-14 |
| 1609067610 | Sandra Gaspar | Marriage & Family Therapist | 410 Roland Way. Suite 100, Oakland, CA 94621 | 2007-08-05 |
| 1053512608 | Ellis W. Jones | Counselor | 7501 International Blvd., Oakland, CA 94621 | 2007-05-30 |
| 1851507016 | Keith Reese | Social Worker | 1933-57 Th Avenue, Oakland, CA 94621 | 2007-05-15 |
| Find all providers in zip 94621 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150003 | Yueying Guan | Optometrist | 2100 109th Ave, Oakland, CA 94603-4015 | 2020-09-27 |
| 1447874193 | Danielle Nicole Licht | Optometrist | 868 Walker Ave Apt 1, Oakland, CA 94610-2033 | 2020-05-28 |
| 1962043463 | Sharon Villa | Optometrist | 5859 Foothill Blvd, # 3, Oakland, CA 94605-1305 | 2019-10-05 |
| 1770049843 | Patricia Hernandez Optometric Center Inc | Optometrist | 4251 Piedmont Ave, Oakland, CA 94611-4713 | 2019-02-14 |
| 1659836872 | Orion Vision Inc. | Optometrist | 5859 Foothill Blvd Ste 3, Oakland, CA 94605-1305 | 2019-02-01 |
| 1760847040 | Vicki Hoffman | Optometrist | 5401 Fernhoff Rd, Oakland, CA 94619-3111 | 2015-12-30 |
| 1134475023 | Jessie K Lee | Optometrist | 7677 Oakport St Ste 100, Oakland, CA 94621-1939 | 2012-07-28 |
| 1316201569 | Christine Wing Wah Ng | Optometrist | 3060 E. 9th Street, Oakland, CA 94601-2925 | 2012-07-02 |
| 1730458076 | Avanti Arvind Ghanekar | Optometrist | 201 4th St Apt 503, Oakland, CA 94607-4373 | 2011-12-15 |
| 1386956308 | Elsa Pao Od Inc | Optometrist | 901 Franklin St Ste 68, Oakland, CA 94607-4476 | 2010-07-07 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.