Keith Yamanishi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9381 Issued in CA

Practice address

10535 Hospital Way BLDG 720
Mather, CA 95655-4200

Phone

(916) 366-5463

NPI assigned

Jun 6, 2006

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lewis Sacker Bliss, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1417908062
  Medicare reassignment
• Lewis S Bliss MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1003084393
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1043259849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 NUGGET CREEK CT",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708127",
            "telephone_number": "916-501-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY BLDG 720",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-366-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5342 Dudley Blvd Bldg 98",
            "address_purpose": "LOCATION",
            "city": "McClellan",
            "state": "CA",
            "postal_code": "956521012",
            "country_code": "US",
            "telephone_number": "916-561-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMANISHI",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Chagnon Wong, RPH
• Tiffany Wong, M.D.
• Kristi Ann Woodard, ACSW, LICSW
• Peter Wroblicky, M.D.
• Cecilia Wykes, M.D.
• Daeu Yang
• Sarah Yang, FNP
• Alan Shoji Yayesaki, PHARMD
• Andrew Yen, M.D.
• Themis Yiaslas, PSY.D.

• Optometrist in Mather, CA
• Providers in Mather, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.