Individual provider Active NPI

Milton M Nakano, OD

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1316938780
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA5744TPA Issued in CA
Practice address
2795 W Lincoln Ave
Suite L
Anaheim, CA 92801-6334
Phone
(714) 527-5060
Fax
(714) 527-5073
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA5744TPA CA Primary

Addresses

Primary practice location

2795 W Lincoln Ave
Suite L
Anaheim, CA 92801-6334

Mailing address

2795 W Lincoln Ave
Suite L
Anaheim, CA 92801-6334
Phone (714) 527-5060

Other identifiers 1

IdentifierTypeStateIssuer
SD0057440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA5744TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Element79 Solutions Inc Optometrist PastSince Feb 4, 2024 Accepting new patients

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1316938780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W LINCOLN AVE",
            "address_2": "SUITE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016334",
            "telephone_number": "714-527-5060",
            "fax_number": "714-527-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W LINCOLN AVE",
            "address_2": "SUITE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016334",
            "telephone_number": "714-527-5060",
            "fax_number": "714-527-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKANO",
        "first_name": "MILTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA5744TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.