Individual provider Active NPI

Nelson Murata, O.D.

  • Optometrist
  • Simi Valley, CA
National Provider Identifier
1275509713
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7290T Issued in CA
Practice address
3885 Cochran Street
Unit L
Simi Valley, CA 93063-2369
Phone
(805) 522-7007
Fax
(805) 522-7886
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7290T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 7290T CA

Addresses

Primary practice location

3885 Cochran Street
Unit L
Simi Valley, CA 93063-2369

Mailing address

3885 Cochran Street
Unit L
Simi Valley, CA 93063-2369
Phone (805) 522-7007

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
I20081204000008 CA Practitioner - Optometry 8527129170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson Murata,OD, an Optometric CorpGroup PAC ID 2466513015, 3 clinicians

Practice addresses (Care Compare)

3963 Cochran St
Suite B
Simi Valley, CA 93063-2364
Phone (805) 522-7007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7290TCAMDCorneal and Contact Management Optometrist
7290CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Murata O D an Optometric Corp Optometrist CurrentSince Oct 5, 2015 Accepting new patients

Locations

3963 Cochran St
Ste B
Simi Valley, CA 93063
Phone (805) 522-7007

3963 Cochran St
Simi Valley, CA 93063

3885 Cochran St
Ste L
Simi Valley, CA 93063
Phone (805) 522-7007

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1275509713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 COCHRAN STREET",
            "address_2": "UNIT L",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632369",
            "telephone_number": "805-522-7007",
            "fax_number": "805-522-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 COCHRAN STREET",
            "address_2": "UNIT L",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632369",
            "telephone_number": "805-522-7007",
            "fax_number": "805-522-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATA",
        "first_name": "NELSON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7290T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7290T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.