Active NPI
Glenn K Kawaguchi, O.D.
- Optometrist
- Thousand Oaks, CA
National Provider Identifier
1275727992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9986
- Practice address
- 518 N Moorpark Rd
Thousand Oaks, CA 91360-3703 - Phone
- (805) 373-0599
- Fax
- (805) 495-4263
- NPI assigned
- Sep 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9986 | CA | Primary |
Addresses
Primary practice location
518 N Moorpark Rd
Thousand Oaks, CA 91360-3703
Mailing address
518 N Moorpark Rd
Thousand Oaks, CA 91360-3703
Phone (805) 373-0599
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1275727992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 N MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603703",
"telephone_number": "805-373-0599",
"fax_number": "805-495-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603703",
"telephone_number": "805-373-0599",
"fax_number": "805-495-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWAGUCHI",
"first_name": "GLENN",
"middle_name": "K",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.