Active NPI
John Kiyoshi Fujii, O.D.
- Optometrist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9652T
- Practice address
- 36 W Yokuts Ave Ste 1
Stockton, CA 95207-5713 - Phone
- (209) 952-0553
- Fax
- (209) 952-0553
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9652T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPT9652 | CA |
Addresses
Primary practice location
36 W Yokuts Ave Ste 1
Stockton, CA 95207-5713
Mailing address
36 W Yokuts Ave Ste 1
Stockton, CA 95207-5713
Phone (209) 952-3700
Other practice location 1
200 Cottage Ave Ste 102
Manteca, CA 95336-4935
Phone (209) 239-5303
Other practice location 2
1334 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 579-8800
Other practice location 3
3133 W March Ln
Suite 2020
Stockton, CA 95219-2361
Phone (209) 951-0820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0096523 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3133 W March LN
Suite 2020
Stockton, CA 95219-2361
Phone (916) 407-7156
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9652T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
100 S Harding Blvd
Roseville, CA 95678
Phone (916) 783-8109
3133 W March Ln
Ste 2020
Stockton, CA 95219
Phone (209) 951-0820
Organizations & group practices 3
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.
-
- Optometrist
- Rancho Cordova, CA
- NPI 1154972404
-
- Optometrist
- San Jose, CA
- NPI 1487537452
-
- Optometrist
- Stockton, CA
- NPI 1932786407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1104883149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 W YOKUTS AVE STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075713",
"telephone_number": "209-952-3700",
"fax_number": "209-952-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 W YOKUTS AVE STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075713",
"telephone_number": "209-952-0553",
"fax_number": "209-952-0553"
}
],
"practiceLocations": [
{
"address_1": "200 Cottage Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953364935",
"country_code": "US",
"telephone_number": "209-239-5303",
"fax_number": "209-239-0090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1334 Nelson Ave",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953505341",
"country_code": "US",
"telephone_number": "209-579-8800",
"fax_number": "209-579-1407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3133 W March Ln",
"address_2": "Suite 2020",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952192361",
"country_code": "US",
"telephone_number": "209-951-0820",
"fax_number": "209-951-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUJII",
"first_name": "JOHN",
"middle_name": "KIYOSHI",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9652T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT9652",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0096523",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.