Individual provider Active NPI

Christina Pualani Tanouye, O.D.

  • Optometrist
  • Camarillo, CA
National Provider Identifier
1326204827
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13547TLG Issued in CA
Practice address
751 E Daily Dr Ste 110
Camarillo, CA 93010-6077
Phone
(805) 987-8705
Fax
(805) 987-7765
NPI assigned
Aug 4, 2008
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13547TLG CA Primary

Addresses

Primary practice location

751 E Daily Dr Ste 110
Camarillo, CA 93010-6077

Mailing address

3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctanouye@direct.mesmg.com Health Information Exchange (HIE) MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC

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
I20081218000155 CA Practitioner - Optometry 0547322000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13547TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Yoo Optometry PC Optometrist CurrentSince Nov 10, 2022 Accepting new patients
Dean Amundsen,O.D. Professional Optometry Corp. Optometrist PastSince Jun 23, 2014 Accepting new patients

Locations

300 E Esplanade Dr
Ste 560
Oxnard, CA 93036
Phone (805) 485-5831

Interoperability endpoints

  • Direct secure messaging: ctanouye@direct.mesmg.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1326204827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR STE 110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106077",
            "telephone_number": "805-987-8705",
            "fax_number": "805-987-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOUYE",
        "first_name": "CHRISTINA",
        "middle_name": "PUALANI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13547TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctanouye@direct.mesmg.com",
            "affiliation": "Y",
            "affiliationName": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "751 E Daily Dr Ste 110",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930106077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.