Individual provider Active NPI

Jill Anne Gould Pajaud, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1184700650
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8728 Issued in CA
Practice address
5512 E Britton Dr Ste 200
Long Beach, CA 90815-3149
Phone
(562) 421-2020
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8728 CA Primary

Addresses

Primary practice location

5512 E Britton Dr Ste 200
Long Beach, CA 90815-3149

Mailing address

11682 Pine St
Los Alamitos, CA 90720-4159

Other practice location 1

19671 Beach Blvd Ste 400
Huntington Beach, CA 92648-5930
Phone (714) 842-0651

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
I20050615000562 CA Practitioner - Optometry 7012951593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Eye GroupGroup PAC ID 0446287361, 7 clinicians

Practice addresses (Care Compare)

19671 Beach Blvd
Suite 400
Huntington Beach, CA 92648-5901

19671 Beach Blvd
Suite 400
Huntington Beach, CA 92648-5930
Phone (714) 842-0651

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
86.42
Improvement activities
40
Cost
72.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8728CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Group Optometrist CurrentSince May 1, 2017 Accepting new patients
Katherine M. Tanaka, M.D., Inc. CurrentSince Feb 1, 2005 Accepting new patients

Locations

19671 Beach Blvd
Ste 400
Huntington Beach, CA 92648
Phone (714) 842-0651

5512 E Britton Dr
Ste 200
Long Beach, CA 90815
Phone (562) 421-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1184700650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11682 PINE ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153149",
            "telephone_number": "562-421-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19671 Beach Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485930",
            "country_code": "US",
            "telephone_number": "714-842-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD PAJAUD",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.