Individual provider Active NPI

Joy T Nakabayashi, O.D.

  • Optometrist
  • Whittier, CA
National Provider Identifier
1255420394
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8291T Issued in CA
Practice address
6309 Greenleaf Ave
Whittier, CA 90601-3536
Phone
(562) 698-9907
NPI assigned
Oct 12, 2006
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8291T CA Primary

Addresses

Primary practice location

6309 Greenleaf Ave
Whittier, CA 90601-3536

Mailing address

6309 Greenleaf Ave
Whittier, CA 90601-3536
Phone (562) 698-9907

Other identifiers 1

IdentifierTypeStateIssuer
SD0082910MedicaidCA

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
I20101103000364 CA Practitioner - Optometry 9739373853 Practice locations: Whittier, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8291TCAMDOptometrist
8291CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guy K Kato OD Optometrist Past Accepting new patients
Catherine Cizmar, O.D., Inc. Optometrist PastSince Jan 1, 2021 Accepting new patients

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1255420394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013536",
            "telephone_number": "562-698-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013536",
            "telephone_number": "562-698-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKABAYASHI",
        "first_name": "JOY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8291T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0082910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.