Individual provider Active NPI

Ann M. Kinoshita, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1194788281
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9810T Issued in CA
Practice address
3030 Alum Rock Ave
San Jose, CA 95127-2807
Phone
(408) 457-7100
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9810T CA Primary

Addresses

Primary practice location

3030 Alum Rock Ave
San Jose, CA 95127-2807

Mailing address

3030 Alum Rock Ave
San Jose, CA 95127-2807
Phone (408) 457-7100

Other practice location 1

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249
Phone (408) 736-3802

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
I20160414000830 CA Practitioner - Optometry 2769780311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9810TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gary Gold & Associates Optometry Optometrist CurrentSince Feb 12, 2016 Accepting new patients
Through the Hayes Optometry Inc Optometrist CurrentSince Jul 13, 2025 Accepting new patients

Locations

130 S Sunnyvale Ave
Sunnyvale, CA 94086
Phone (408) 736-3802

Interoperability endpoints

  • Direct secure messaging: akinoshitabonfoey578498@direct.ochin.org

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1194788281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ALUM ROCK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272807",
            "telephone_number": "408-457-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ALUM ROCK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272807",
            "telephone_number": "408-457-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Sunnyvale Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940866249",
            "country_code": "US",
            "telephone_number": "408-736-3802",
            "fax_number": "408-736-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINOSHITA",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9810T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.