Organization Active NPI

Kevin Cambra

  • Eyewear Supplier
  • Tracy, CA
National Provider Identifier
1023586955
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KEVIN CAMBRA
Doing business as
Site for Sore Eyes
Practice address
1839 W 11TH St
Tracy, CA 95376-3727
Phone
(510) 301-8317
NPI assigned
Nov 8, 2018
Organization subpart
Yes
Parent organization
SITE GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Kevin Cambra
Title
Owner
Phone
(510) 301-8317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1839 W 11TH St
Tracy, CA 95376-3727

Mailing address

1839 W 11TH St
Tracy, CA 95376-3727

Other names 1

  • Site for Sore Eyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kevin Cambra2 organizations share this tax ID, including this one
Part of
Site Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1839 W 11th St
Tracy, CA 95376
Phone (209) 650-3131

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1023586955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763727",
            "telephone_number": "510-301-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CAMBRA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SITE GROUP, LLC",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "CAMBRA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-301-8317"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site for Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.