Individual provider Active NPI

Janet Elizabeth Kohtz, O.D.

  • Optometrist
  • Riverside, CA
National Provider Identifier
1013027390
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4883TPA Issued in CA
Practice address
6700 Indiana Ave
Suite 155
Riverside, CA 92506-4290
Phone
(951) 682-1600
Fax
(951) 682-1680
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT4883TPA CA Primary

Addresses

Primary practice location

6700 Indiana Ave
Suite 155
Riverside, CA 92506-4290

Mailing address

6700 Indiana Ave
Suite 155
Riverside, CA 92506-4290
Phone (951) 682-1600

Other identifiers 4

IdentifierTypeStateIssuer
0569760001OtherCIGNA MEDICARE
P00316151OtherRAILROAD MEDICARE
SD0048830MedicaidCA
GSD000520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT4883TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ariana Aparicio Phillips, O.D., Corp Optometrist PastSince Jun 4, 2023 Accepting new patients
Ariana Aparicio Phillips, O.D., Corp Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1013027390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE",
            "address_2": "SUITE 155",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064290",
            "telephone_number": "951-682-1600",
            "fax_number": "951-682-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE",
            "address_2": "SUITE 155",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064290",
            "telephone_number": "951-682-1600",
            "fax_number": "951-682-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHTZ",
        "first_name": "JANET",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4883TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "0569760001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00316151",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0048830",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.