Active NPI
Brian R Yap, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1164685194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13481
- Practice address
- 2700 Colorado Blvd Ste 239
Los Angeles, CA 90041-1048 - Phone
- (323) 258-2020
- Fax
- (888) 769-4820
- NPI assigned
- Jul 9, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13481 | CA | Primary |
| Optometrist | 152W00000X | 007498 | NY | |
| Optometrist | 152W00000X | 001797 | AZ |
Addresses
Primary practice location
2700 Colorado Blvd Ste 239
Los Angeles, CA 90041-1048
Mailing address
3354 Thorndale Rd
Pasadena, CA 91107-4636
Phone (323) 605-2063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z150987 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13481 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 007498 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen R. Keller, O.D., Inc. | Optometrist | Current | Accepting new patients |
| Morton Optometric Inc | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Locations
9596 Base Line Rd
Rch Cucamonga, CA 91701
Phone (909) 989-1791
Organizations & group practices 4
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.
-
dba Alta Loma Optometric Center
- Optometrist
- Rancho Cucamonga, CA
- NPI 1619019197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1164685194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3354 THORNDALE RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074636",
"telephone_number": "323-605-2063",
"fax_number": "888-769-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 COLORADO BLVD STE 239",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411048",
"telephone_number": "323-258-2020",
"fax_number": "888-769-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAP",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13481",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007498",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "001797",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z150987",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.