Active NPI
Helen C Kondo, OD
- Optometrist
- Los Angeles, CA
National Provider Identifier
1023299716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5717
- Practice address
- 630 Shatto PL FL 1
Optometry
Los Angeles, CA 90005-1303 - Phone
- (213) 380-1670
- NPI assigned
- Nov 21, 2007
- Last updated
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5717 | CA | Primary |
Addresses
Primary practice location
630 Shatto PL FL 1
Optometry
Los Angeles, CA 90005-1303
Mailing address
630 Shatto PL FL 1
Optometry
Los Angeles, CA 90005-1303
Phone (213) 380-1670
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093934986
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- San Fernando, CA
- NPI 1609095587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1023299716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SHATTO PL FL 1",
"address_2": "OPTOMETRY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051303",
"telephone_number": "213-380-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SHATTO PL FL 1",
"address_2": "OPTOMETRY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051303",
"telephone_number": "213-380-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDO",
"first_name": "HELEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.