Nancy T Imamoto OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NANCY T IMAMOTO OD PC

Practice address

1713 W Artesia Blvd
Gardena, CA 90248-3220

Phone

(310) 329-4128

Fax

(310) 329-9180

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Imamoto, O.D.NPI 1790768794

Title

President

Phone

(310) 329-4128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Tang Imamoto, O.D.

  • Optometrist
  • Gardena, CA
  • NPI 1790768794
  Medicare reassignment NPD Authorized official
• Joel David Goodman, OD

  • Optometrist
  • Gardena, CA
  • NPI 1386740447
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1184008294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W ARTESIA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483220",
            "telephone_number": "310-329-4128",
            "fax_number": "310-329-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W ARTESIA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483220",
            "telephone_number": "310-329-4128",
            "fax_number": "310-329-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY T IMAMOTO OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "IMAMOTO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-329-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rumi Nakamura-NG, O.D.
• Linda Keiko Nakamura, PSY.D.
• Stephen Kiyoshi Nakano, DC
• Bonnie Jane Nakasuji, OTD, OTR/L
• Nalee Speech Clinic Inc
• Katelyn Michelle Napier
• Sara Nicole Napoli
• Malika Naqvi
• Narayan R. Roa, M.D. Inc
• Alexis Nash, BCBA

• Optometrist in Gardena, CA
• Providers in Gardena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.