Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Shafa

Individual provider Optometrist · NPI 1164370052

Tina Shafa is an Optometry in San Ramon, California. Qualified in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2026

Practice location Address checks out

6000 Bollinger Canyon Rd Ste 1104
San Ramon, CA 94583-2305
Phone: (925) 725-1745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 36180 (CA)

Record details

NPI number1164370052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address6000 Bollinger Canyon Rd Ste 1104, San Ramon, CA 94583-2305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in San Ramon