NISREEN MESIWALA KOTHARI (NPI# 1730445644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730445644 |
| Entity Type | Individual |
| Full Name | NISREEN MESIWALA KOTHARI |
| Credential | MD |
| Practice Address |
15051 Hesperian Blvd Ste A San Leandro CA 94578 |
| Mailing Address |
250 King St Unit 432 San Francisco CA 94107-5488 |
| Practice Telephone | 5102761212 |
| Mailing Telephone | 2487609236 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A144488 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 262309 | MA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | RS2014-0672 | NM | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 162 Clinton St, Redwood City, CA 940621552 | 6503692529 | 6503695400 |
| 1899 W March Ln, Stockton, CA 952076402 | 2096234700 |
| Street Address |
15051 HESPERIAN BLVD STE A |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1164710919 | Inna Shapiro | Pharmacist | 15555 East 14th Street, Suit 400, San Leandro, CA 94578 | 2011-07-14 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144513805 | Bay Area Ophthalmic Medical Corporation | Ophthalmology | 276 Dolores Ave, San Leandro, CA 94577-5008 | 2011-05-27 |
| 1881784544 | Rose Shoshana Kiprov | Ophthalmology | 15051 Hesperian Blvd, Ste A, San Leandro, CA 94578-3536 | 2006-10-13 |
| 1306869912 | Thomas R Rowley | Ophthalmology | 13851 E 14th St Ste 304, San Leandro, CA 94578-2630 | 2006-07-25 |
| 1124070610 | Stephen Gordon Turner | Ophthalmology | 420 Estudillo Ave, San Leandro, CA 94577-4908 | 2006-05-16 |
| 1740439371 | Rominder Momi | Ophthalmology | 15051 Hesperian Blvd, Suite A, San Leandro, CA 94578-3536 | 2008-09-18 |
| 1922269760 | Chirag Ramesh Patel | Ophthalmology | 420 Estudillo Ave, San Leandro, CA 94577-4908 | 2008-06-24 |
| 1366560336 | Joseph M. Farber M.d., Inc. | Ophthalmology | 15051 Hesperian Blvd, Suite A, San Leandro, CA 94578-3536 | 2007-03-27 |
| 1649344722 | V. Nicholas Batra M.d. Inc. | Ophthalmology | 15051 Hesperian Blvd, Suite A, San Leandro, CA 94578-3536 | 2006-11-20 |
| 1265510408 | Janice D Moyer | Ophthalmology | 15051 Hesperian Blvd, Suite A, San Leandro, CA 94578-3536 | 2006-11-02 |
| 1457432379 | Vineet Nicholas Batra | Ophthalmology | 15051 Hesperian Blvd, Suite A, San Leandro, CA 94578-3536 | 2006-10-18 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.