Individual provider Active NPI

Janice H Tamai, OD

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1174589949
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8334 Issued in CA
Practice address
9401 E Stockton Blvd
Ste 105
Elk Grove, CA 95624
Phone
(916) 686-4937
Fax
(916) 686-4469
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8334 CA Primary

Addresses

Primary practice location

9401 E Stockton Blvd
Ste 105
Elk Grove, CA 95624

Mailing address

9401 E Stockton Blvd
Ste 105
Elk Grove, CA 95624
Phone (916) 686-4937

Other identifiers 1

IdentifierTypeStateIssuer
0433340001OtherCASUPPLIER #

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
I20130403000063 CA Practitioner - Optometry 1658559190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Elk Grove Optometry a Professional CorporationGroup PAC ID 4587842026, 3 clinicians

Practice addresses (Care Compare)

9401 E Stockton Blvd
Suite 105
Elk Grove, CA 95624-5050
Phone (916) 686-4937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8334CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Grove Optometry a Professional Corporation Optometrist CurrentSince Jan 2, 2005 Accepting new patients

Locations

9401 E Stockton Blvd
Ste 105
Elk Grove, CA 95624
Phone (916) 686-4937

Organizations & group practices 1

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1174589949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "STE 105",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-686-4937",
            "fax_number": "916-686-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "STE 105",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-686-4937",
            "fax_number": "916-686-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAI",
        "first_name": "JANICE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER #",
            "identifier": "0433340001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.