Individual provider Active NPI

Dennis T. Sugiyama, O. D.

  • Optometrist
  • Mission Hills, CA
National Provider Identifier
1134178155
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9808-TLG Issued in CA
Practice address
11550 Indian Hills Rd Ste 341
Mission Hills, CA 91345-1203
Phone
(818) 365-0606
NPI assigned
May 8, 2006
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 OPT9808-TLG CA Primary
Corneal and Contact Management Optometrist 152WC0802X OPT9808-TLG CA

Addresses

Primary practice location

11550 Indian Hills Rd Ste 341
Mission Hills, CA 91345-1203

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other identifiers 1

IdentifierTypeStateIssuer
SD0098080MedicaidCA

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
I20040430000570 CA Practitioner - Optometry 9234126178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 341
Mission Hills, CA 91345-1203
Phone (818) 365-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT9808-TLGCAMDOptometrist
9808CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Optometrist CurrentSince Dec 16, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 5, 2017 Accepting new patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 5, 2017 Accepting new patients
First Desert Obstetrics & Gynecology Medical Associates, Inc. PastSince Dec 8, 2010 Accepting new patients
North Valley Eye Medical Group, Inc. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

716 W Broadway
Glendale, CA 91204
Phone (818) 243-9999

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

11550 Indian Hills Rd
Ste 341
Mission Hills, CA 91345
Phone (818) 365-0606

2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dennis.sugiyama.d1.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: dennis.sugiyama.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: dennis.sugiyama.p44@direct.healthcarepartners.nextgenshare.com
  • Direct secure messaging: dsugiyama@californiaeye.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1134178155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 341",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451203",
            "telephone_number": "818-365-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIYAMA",
        "first_name": "DENNIS",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9808-TLG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT9808-TLG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0098080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.