Individual provider Active NPI

Emerick K Nakasone, OD

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1346317112
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7538T Issued in CA
Practice address
2390 N Tustin Ave
Ste B
Santa Ana, CA 92705-1603
Phone
(714) 543-3167
Fax
(714) 835-7994
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7538T CA Primary

Addresses

Primary practice location

2390 N Tustin Ave
Ste B
Santa Ana, CA 92705-1603

Mailing address

2390 N Tustin Ave
Ste B
Santa Ana, CA 92705-1603
Phone (714) 543-3167

Other names 1

  • Rick K Nakasone Other name

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
I20091117000453 CA Practitioner - Optometry 9638217375 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7538CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tustin Optometric Center Optometrist PastSince Dec 29, 2019 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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1346317112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 N TUSTIN AVE",
            "address_2": "STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051603",
            "telephone_number": "714-543-3167",
            "fax_number": "714-835-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 N TUSTIN AVE",
            "address_2": "STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051603",
            "telephone_number": "714-543-3167",
            "fax_number": "714-835-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASONE",
        "first_name": "EMERICK",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7538T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "NAKASONE",
            "middle_name": "K",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.