Gary Richard Taxera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7072T Issued in CA

Practice address

1245 Tharp Rd
Yuba City, CA 95993-2640

Phone

(530) 674-5273

Fax

(530) 674-5275

NPI assigned

May 25, 2006

Last updated

May 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Optometric Group IncGroup PAC ID 7315908696, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Three Rivers Optometric Group Inc

  • Optometrist
  • Yuba City, CA
  • NPI 1497866545
  Medicare reassignment Care Compare group NPD Authorized official
• Colusa Eyecare Optometry

  • Optometrist
  • Colusa, CA
  • NPI 1265770416
  NPD (past)
• Colusa Indian Community Council

  • Clinic/Center
  • Colusa, CA
  • NPI 1245709435
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1326094392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 THARP RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932640",
            "telephone_number": "530-674-5273",
            "fax_number": "530-674-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 THARP RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932640",
            "telephone_number": "530-674-5273",
            "fax_number": "530-674-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXERA",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7072T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "ZZZ07850Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liah Ferdeliz De Jesus Tanjuaquio, RN
• Mary Grace Tapawan-Serrano, M.D.
• Chelsea Tarrant
• Celeste Tavares
• Sandra Tawfik, PTLA
• Tina Marie Tayloe
• Allyson Taylor
• Jordin Kay Taylor
• Lori Taylor, RD
• Natalie Marie Taylor, CNM, WHNP,M.S.N

• Optometrist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.