Individual provider Active NPI

Caroline Keiko Yokota, O.D.

  • Optometrist
  • Northridge, CA
National Provider Identifier
1124140678
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12222T Issued in CA
Practice address
9301 Tampa Ave Unit 62
Northridge, CA 91324-5656
Phone
(818) 857-3008
Fax
(818) 709-2292
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT006129 NY
Optometrist 152W00000X OPT12222T CA Primary

Addresses

Primary practice location

9301 Tampa Ave Unit 62
Northridge, CA 91324-5656

Mailing address

9301 Tampa Ave Unit 62
Northridge, CA 91324-5656
Phone (818) 885-7300

Other identifiers 1

IdentifierTypeStateIssuer
SD0122220MedicaidCA

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
I20060406000351 CA Practitioner - Optometry 6103835954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9301 Tampa Ave
Unit 62
Northridge, CA 91324-5656
Phone (818) 885-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12222TCAMDOptometrist
VUT006129NYMDOptometrist
12222CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline Yokota, O.D., a Professional Corporation CurrentSince Nov 1, 2018 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

9301 Tampa Ave
Unit 62
Northridge, CA 91324
Phone (818) 885-7300

Organizations & group practices 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1124140678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 TAMPA AVE UNIT 62",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245656",
            "telephone_number": "818-885-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 TAMPA AVE UNIT 62",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245656",
            "telephone_number": "818-857-3008",
            "fax_number": "818-709-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKOTA",
        "first_name": "CAROLINE",
        "middle_name": "KEIKO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006129",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12222T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0122220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.