Individual provider Active NPI

Ryan K Onishi, O.D.

  • Optometrist
  • San Juan Capistrano, CA
National Provider Identifier
1053487116
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11380T Issued in CA
Practice address
31401 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1851
Phone
(949) 496-0552
Fax
(949) 443-3828
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11380T CA Primary

Addresses

Primary practice location

31401 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1851

Mailing address

31401 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1851
Phone (949) 496-0552

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050131000533 CA Practitioner - Optometry 6800846593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31401 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1850
Phone (949) 496-0552

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11380TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K. Onishi, O.D., an Optometric Corporation CurrentSince Aug 16, 2009 Accepting new patients

Locations

31401 Rancho Viejo Rd
Ste 103
San Juan Capo, CA 92675
Phone (949) 443-3794

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1053487116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751851",
            "telephone_number": "949-496-0552",
            "fax_number": "949-443-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751851",
            "telephone_number": "949-496-0552",
            "fax_number": "949-443-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISHI",
        "first_name": "RYAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11380T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.