Active NPI
Bita Shoku, OD
- Optometrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12043T
- Practice address
- 100 Stein PLZ
Los Angeles, CA 90095-7065 - Phone
- (310) 825-3090
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- 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 | OPT12043T | CA | Primary |
Addresses
Primary practice location
100 Stein PLZ
Los Angeles, CA 90095-7065
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0120430 | Medicaid | CA |
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
- Southern California College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
622 W Duarte Rd
Suite 101
Arcadia, CA 91007-7606
Phone (323) 442-7122
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.31 of 100
- Quality
- 78.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12043T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jules Stein Eye Institute Medical Group | Current | Accepting new patients | |
| Optometrix | Optometrist | Current | Accepting new patients |
| Jules Stein Eye Institute Medical Group | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
622 W Duarte Rd
Ste 101
Arcadia, CA 91007
Phone (310) 206-1166
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
100 Stein Plz
Rm 1340
Los Angeles, CA 90095
Phone (310) 206-1166
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
11701 Wilshire Blvd
Ste 10
Los Angeles, CA 90025
Phone (310) 820-7866
100 Stein Plz
Los Angeles, CA 90095
Phone (310) 825-3090
Interoperability endpoints
- bshokouh48213@direct.uclahealth.org
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1326006966
-
- Optometrist
- Los Angeles, CA
- NPI 1952589442
-
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1770938292
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1225050495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STEIN PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957065",
"telephone_number": "310-825-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOKU",
"first_name": "BITA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12043T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0120430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.