Individual provider Active NPI

Paul S. Hirano

  • Optometrist
  • Torrance, CA
National Provider Identifier
1124025960
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00007487T Issued in CA
Practice address
2130 Redondo Beach Blvd Ste G
Torrance, CA 90504-1680
Phone
(310) 538-9797
Fax
(310) 538-1725
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 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 00007487T CA Primary

Addresses

Primary practice location

2130 Redondo Beach Blvd Ste G
Torrance, CA 90504-1680

Mailing address

2130 Redondo Beach Blvd Ste G
Torrance, CA 90504-1680
Phone (310) 538-9797

Other identifiers 1

IdentifierTypeStateIssuer
SD0074870MedicaidCA

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
I20051003000851 CA Practitioner - Optometry 6406881937 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00007487TCAMDOptometrist

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1124025960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 REDONDO BEACH BLVD STE G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041680",
            "telephone_number": "310-538-9797",
            "fax_number": "310-538-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 REDONDO BEACH BLVD STE G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041680",
            "telephone_number": "310-538-9797",
            "fax_number": "310-538-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRANO",
        "first_name": "PAUL",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "00007487T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0074870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.