Herbert Keiji Wakamatsu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 5224T Issued in CA

Practice address

3525 W 8TH St
#228B
Los Angeles, CA 90005-2993

Phone

(213) 380-2831

Fax

(213) 384-2002

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Somi Kim, O.D., Inc.

  • Optometrist
  • Los Angeles, CA
  • NPI 1306003686
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1073550976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16302 HEARTWOOD CT",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386516",
            "telephone_number": "562-279-5406",
            "fax_number": "213-384-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W 8TH ST",
            "address_2": "#228B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052993",
            "telephone_number": "213-380-2831",
            "fax_number": "213-384-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKAMATSU",
        "first_name": "HERBERT",
        "middle_name": "KEIJI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5224T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5224T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Waitt
• Thitiporn Wajanakunakorn
• Robin Chikako Wakabayashi, DDS, MS
• Samantha Wright Wakach, LCSW
• Wakamatsu & Wakamatsu DDS
• Jeannie Wakamatsu, MPH, RD
• Tod Hitoshi Wakamatsu, DDS
• Emily Wakeling, AMFT
• Ali Wakil, MD
• Nicole Wakus

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.