Active NPI
Yosuke Yonemasu, O.D.
- Optometrist
- Mission Viejo, CA
National Provider Identifier
1184777690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12883T
- Practice address
- 30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527 - Phone
- (949) 364-4010
- Fax
- (949) 364-4001
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12883T | CA | Primary |
Addresses
Primary practice location
30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527
Mailing address
6471 Thornwood St
San Diego, CA 92111-4132
Phone (858) 565-4208
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1890 Garnet Ave
San Diego, CA 92109-3363
Phone (858) 274-3777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12883T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yosuke Yonemasu, O.D. | Optometrist | Current | Accepting new patients |
Locations
1890 Garnet Ave
San Diego, CA 92109
Phone (858) 274-3777
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, 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": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184777690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6471 THORNWOOD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921114132",
"telephone_number": "858-565-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 THE SHOPS AT MISSION VIEJO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916527",
"telephone_number": "949-364-4010",
"fax_number": "949-364-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONEMASU",
"first_name": "YOSUKE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12883T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.