Kathleen M. Andersen, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8187T Issued in CA

Legal business name

KATHLEEN M. ANDERSEN, O.D., INC.

Practice address

22312 El Paseo Ste D
Rancho Santa Margarita, CA 92688-5803

Phone

(949) 589-6171

Fax

(949) 589-0657

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Marie Andersen, O.D.NPI 1881747962

Title

President

Phone

(949) 589-6171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://kandersenod.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Marie Andersen, O.D.

  • Optometrist
  • Rancho Santa Margarita, CA
  • NPI 1881747962
  Medicare reassignment NPD Authorized official
• Jacqueline Hiroko Tran, O.D.

  • Optometrist
  • Rancho Santa Margarita, CA
  • NPI 1942793336
  Medicare reassignment NPD
• Shahrzad Yazdan, OD

  • Optometrist
  • Rancho Santa Margarita, CA
  • NPI 1477127249
  Medicare reassignment NPD
• Andrea Chau Nguyen, O.D.

  • Optometrist
  • Foothill Ranch, CA
  • NPI 1275651408
  NPD (past)
• Monica Reyes, O.D.

  • Optometrist
  • Rancho Santa Margarita, CA
  • NPI 1881029148
  NPD (past)
• Alexander Matthew Turk, OD

  • Optometrist
  • Rancho Santa Margarita, CA
  • NPI 1124868674
  NPD (past)
• Kimberly Q. Pham, O.D

  • Optometrist
  • Georgetown, TX
  • NPI 1437573235
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1043439821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22312 EL PASEO STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885803",
            "telephone_number": "949-589-6171",
            "fax_number": "949-589-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22312 EL PASEO STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885803",
            "telephone_number": "949-589-6171",
            "fax_number": "949-589-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M. ANDERSEN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-589-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8187T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Kantor, DTR, CLT
• Heather Kaplan-Santos, PH.D.
• Karafin Dental Corp
• Scott Karafin, D,D.S.
• Katayoun Massoudi, DDS Incorporated
• Christina Marie Kayanan, LMFT, APCC
• Kimberly Kayvanfar
• Kenneth A Kazenelson, M.D.
• Hallie Keatley, DPT
• Julie Nadine Keck, PHD

• Optometrist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.