Individual provider Active NPI

Vanessa Kuriki, OD

  • Optometrist
  • Manhattan Beach, CA
National Provider Identifier
1174196158
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34830 Issued in CA
Practice address
3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469
Phone
(310) 546-5568
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34830 CA Primary

Addresses

Primary practice location

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469

Mailing address

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469
Phone (310) 546-5568

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
I20210907003345 CA Practitioner - Optometry 5193121796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34830CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Oct 22, 2023 Accepting new patients
Howard E Stein OD an Optometric Corp Optometrist Current Accepting new patients
Sheldon M. Golden OD Optometric Corporation Optometrist Past Accepting new patients

Locations

201 E Magnolia Blvd
Ste 261
Burbank, CA 91502
Phone (818) 841-2393

3200 N Sepulveda Blvd
Ste E4
Manhattan Beach, CA 90266
Phone (310) 546-5568

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

Organizations & group practices 3

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1174196158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-546-5568",
            "fax_number": "310-544-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-546-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIKI",
        "first_name": "VANESSA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.