Organization Active NPI

Gary S. Yamada, Optometrist

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1003090580
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARY S. YAMADA, OPTOMETRIST
Practice address
4433 Florin Rd
Suite 890
Sacramento, CA 95823-2544
Phone
(916) 393-5151
Fax
(916) 392-6130
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary S Yamada, O.D.
Title
Optometrist/Owner
Phone
(916) 393-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4433 Florin Rd
Suite 890
Sacramento, CA 95823-2544

Mailing address

4433 Florin Rd
Suite 890
Sacramento, CA 95823-2527
Phone (916) 393-5151

Other identifiers 1

IdentifierTypeStateIssuer
GSD004750MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1003090580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD",
            "address_2": "SUITE 890",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232527",
            "telephone_number": "916-393-5151",
            "fax_number": "916-392-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD",
            "address_2": "SUITE 890",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232544",
            "telephone_number": "916-393-5151",
            "fax_number": "916-392-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S. YAMADA, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "916-393-5151",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.