CRISTINA TA (NPI# 1356995047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356995047 |
Entity Type | Individual |
Full Name | CRISTINA TA |
Credential | OD |
Practice Address |
200 Minor Hall Berkeley CA 94720-0001 |
Mailing Address |
13681 Havenwood Dr Garden Grove CA 92843-3557 |
Practice Telephone | 5106422020 |
Mailing Telephone | 7142344692 |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 34304TLG | CA | Eye and Vision Services Providers |
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
34304TLG | CA | Eye and Vision Services Providers |
Street Address |
200 MINOR HALL |
City | BERKELEY |
State | CA |
Zip Code | 94720-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023156965 | John Corzine | Optometrist | 200 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-02-02 |
1588289474 | Jessica Lynn Broodryk | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2020-06-16 |
1669096384 | Quan Dao | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2020-05-29 |
1619590924 | Akirta Kour Sran | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2020-05-20 |
1396390134 | Amrit Bilkhu | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2019-08-08 |
1811540198 | Montserrat Joan Astorino | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2019-07-16 |
1780163808 | Christine Yoo | Optometrist | 200 Minor Hall, Berkeley, CA 94720-0001 | 2018-08-09 |
1932654043 | Tara Pahlevan-chaleshtari | Optometrist | 200 Minor Hall, Berkeley, CA 94720 | 2016-08-18 |
1255611208 | Carol K Chan | Optometrist | 200 Minor Hall, Berkeley, CA 94720 | 2011-08-23 |
1326328790 | Melissa Ann Valdellon | Optometrist | 200 Minor Hall, Berkeley, CA 94720 | 2011-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
Find all providers in zip 94720 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
1437218864 | Thao Tran, O.d., Inc | Optometrist | 684 N 1st St, San Jose, CA 95112-5109 | 2006-12-08 |
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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.