Active NPI
Jeffery Hitoshi Kaku, O.D.
- Corneal and Contact Management Optometrist
- Fullerton, CA
National Provider Identifier
1326063769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 8963TL
- Practice address
- 2001 E Chapman Ave
Fullerton, CA 92831-4105 - Phone
- (714) 738-6902
- Fax
- (714) 738-0296
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 8963TL | CA | Primary |
| Optometrist | 152W00000X | 8963TL | CA |
Addresses
Primary practice location
2001 E Chapman Ave
Fullerton, CA 92831-4105
Mailing address
2001 E Chapman Ave
Fullerton, CA 92831-4105
Phone (714) 738-6902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT 8963 TPL | Other | CA | OPTOMETRY LICENSE # |
| SD0089630 | Medicaid | CA |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8963TL | CA | MD | Optometrist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1326063769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E CHAPMAN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928314105",
"telephone_number": "714-738-6902",
"fax_number": "714-738-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E CHAPMAN AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928314105",
"telephone_number": "714-738-6902",
"fax_number": "714-738-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKU",
"first_name": "JEFFERY",
"middle_name": "HITOSHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "8963TL",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8963TL",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE #",
"identifier": "OPT 8963 TPL",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0089630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.