Individual provider Active NPI

Gissel Coto, OD

  • Optometrist
  • Woodland Hills, CA
National Provider Identifier
1174362933
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35673 Issued in CA
Practice address
21800 Victory Blvd
Woodland Hills, CA 91367-2227
Phone
(818) 704-1255
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35673 CA Primary

Addresses

Primary practice location

21800 Victory Blvd
Woodland Hills, CA 91367-2227

Mailing address

2001 Ventura Blvd
Oxnard, CA 93036-1813

Other practice location 1

2001 Ventura Blvd
Oxnard, CA 93036-1813
Phone (805) 983-2377

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
I20240913002755 CA Practitioner - Optometry 3678013810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
You and Eyecare Optometry IncGroup PAC ID 5193267797, 4 clinicians
Bream Optometry, Inc.Group PAC ID 4385073568, 4 clinicians

Practice addresses (Care Compare)

2001 Ventura Blvd
Oxnard, CA 93036-1813
Phone (805) 983-2377

7095 Market Place Dr
Goleta, CA 93117-5905
Phone (805) 562-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35673CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
You and Eyecare Optometry, Inc. Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Bream Optometry, Inc. Optometrist CurrentSince Nov 1, 2024 Accepting new patients

Locations

2001 Ventura Blvd
Oxnard, CA 93036
Phone (805) 983-2377

7095 Market Place Dr
Santa Barbara, CA 93117
Phone (805) 562-1300

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, 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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1174362933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 VENTURA BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 VICTORY BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672227",
            "telephone_number": "818-704-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930361813",
            "country_code": "US",
            "telephone_number": "805-983-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTO",
        "first_name": "GISSEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.