Active NPI
Nathan H Schramm, O.D.
- Corneal and Contact Management Optometrist
- Costa Mesa, CA
National Provider Identifier
1265682876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 34766-TLG
- Practice address
- 3151 Airway Ave Ste M3
Costa Mesa, CA 92626-4626 - Phone
- (714) 486-3315
- Fax
- (714) 486-3071
- NPI assigned
- Sep 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4407 | FL | |
| Corneal and Contact Management Optometrist | 152WC0802X | 34766-TLG | CA | Primary |
Addresses
Primary practice location
3151 Airway Ave Ste M3
Costa Mesa, CA 92626-4626
Mailing address
3151 Airway Ave Ste M3
Costa Mesa, CA 92626-4626
Phone (714) 486-3315
Other names 1
- Nathan James Sanderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34766-TLG | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jimmy K. Lee, M.D. Inc. | Past | Accepting new patients | |
| Mai and Lam Optometric Corporation | Optometrist | Past | 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 and National Provider Directory roles.
-
- Cornea and External Diseases Specialist Physician
- Irvine, CA
- NPI 1750143681
-
- Optometrist
- Costa Mesa, CA
- NPI 1356749865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1265682876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 AIRWAY AVE STE M3",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264626",
"telephone_number": "714-486-3315",
"fax_number": "714-486-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 AIRWAY AVE STE M3",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264626",
"telephone_number": "714-486-3315",
"fax_number": "714-486-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAMM",
"first_name": "NATHAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-19",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4407",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "34766-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHAN",
"last_name": "SANDERSON",
"middle_name": "JAMES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.