Individual provider Active NPI

Henry Akemi Oishi, O.D.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1174674972
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12717 TPA Issued in CA
Practice address
31843 Rancho California Rd
Suite 100
Temecula, CA 92591-5120
Phone
(951) 587-6500
Fax
(951) 587-6550
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 OPT12717 TPA CA Primary

Addresses

Primary practice location

31843 Rancho California Rd
Suite 100
Temecula, CA 92591-5120

Mailing address

31843 Rancho California Rd
Ste 100
Temecula, CA 92591-5120
Phone (310) 301-0846

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
I20100618000543 CA Practitioner - Optometry 7810904729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12717 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry T Oishi OD Apc Optometrist CurrentSince Mar 29, 2010 Accepting new patients

Locations

31843 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 587-6500

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1174674972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31843 RANCHO CALIFORNIA RD",
            "address_2": "STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915120",
            "telephone_number": "310-301-0846",
            "fax_number": "310-301-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31843 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915120",
            "telephone_number": "951-587-6500",
            "fax_number": "951-587-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OISHI",
        "first_name": "HENRY",
        "middle_name": "AKEMI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12717 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.