Active NPI
Ronald Yoneo Hayashida, O.D.
- Corneal and Contact Management Optometrist
- Yucca Valley, CA
National Provider Identifier
1043294929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPT4574T
- Practice address
- 56970 Yucca TRL
Yucca Valley, CA 92284-3753 - Phone
- (760) 228-2020
- Fax
- (760) 369-2020
- NPI assigned
- Dec 3, 2005
- Last updated
- Jun 21, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT4574T | CA | Primary |
Addresses
Primary practice location
56970 Yucca TRL
Yucca Valley, CA 92284-3753
Mailing address
56970 Yucca TRL
Yucca Valley, CA 92284-3753
Phone (760) 228-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD004460 | Other | CA | MEDICAID GROUP NUMBER |
| SD0045740 | Medicaid | CA | |
| FU077A | Other | CA | MEDICARE GROUP NUMBER |
| 1245517804 | Other | CA | GROUP NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT4574T | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1043294929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56970 YUCCA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843753",
"telephone_number": "760-228-2020",
"fax_number": "760-369-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56970 YUCCA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843753",
"telephone_number": "760-228-2020",
"fax_number": "760-369-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYASHIDA",
"first_name": "RONALD",
"middle_name": "YONEO",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-03",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT4574T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "GSD004460",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0045740",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "FU077A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1245517804",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.