Organization Active NPI

Yana Repkin OD a Professional Corporation

  • Optometrist
  • Poway, CA
National Provider Identifier
1053894295
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YANA REPKIN OD A PROFESSIONAL CORPORATION
Practice address
13425 Community Rd
Poway, CA 92064-4723
Phone
(858) 486-1954
Fax
(858) 486-1963
NPI assigned
Sep 13, 2018
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Yanina Repkin, O.D.NPI 1477606135
Title
President
Phone
(619) 997-1179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13425 Community Rd
Poway, CA 92064-4723

Mailing address

PO Box 1089
Poway, CA 92074-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919003755 CA Part B Supplier - Clinic/Group Practice 1254835390 Receives reassigned benefits from 1 practitioner
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1053894295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741089",
            "fax_number": "858-486-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 COMMUNITY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644723",
            "telephone_number": "858-486-1954",
            "fax_number": "858-486-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANA REPKIN OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "REPKIN",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-997-1179",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.