Active NPI
Dennis T. Sugiyama, O. D.
- Optometrist
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT9808-TLG
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0098080 | 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
- Southern California College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT9808-TLG | CA | MD | Optometrist |
| 9808 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azul Vision Inc. | Optometrist | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| California Eye Specialists Medical Group, Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| First Desert Obstetrics & Gynecology Medical Associates, Inc. | Past | 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
- dennis.sugiyama.d1.p1@direct.atlantiseyecare.nextgenshare.com
- dennis.sugiyama.p1@direct.atlantiseyecare.nextgenshare.com
- dennis.sugiyama.p44@direct.healthcarepartners.nextgenshare.com
- dsugiyama@californiaeye.intellechartdirect.net
- 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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Specialist
- Pasadena, CA
- NPI 1699713099
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Obstetrics & Gynecology Physician
- Indio, CA
- NPI 1184792590
-
- Ophthalmology Physician
- Mission Hills, CA
- NPI 1326099680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.