Active NPI
Kusay Isam Arabo, O.D.
- Optometrist
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12543
- Practice address
- 8235 University Ave
La Mesa, CA 91941-3820 - Phone
- (619) 461-4913
- Fax
- (619) 465-5070
- NPI assigned
- Nov 2, 2006
- Last updated
- Oct 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12543 | CA | Primary |
Addresses
Primary practice location
8235 University Ave
La Mesa, CA 91941-3820
Mailing address
8235 University Ave
La Mesa, CA 91941-3820
Phone (619) 461-4913
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3955 Bonita Rd
Bonita, CA 91902-1230
Phone (619) 528-5000
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
8080 Pkwy Dr
La Mesa, CA 91942-2104
Phone (619) 528-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12543 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Vision Solutions Optometry, Inc. | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Dr Caroline G Cauchi, O.D., Inc | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
Ownership & related parties
All facility ownership & control disclosures 21
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| San Ysidro Health Paradise Hills | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Chula Vista | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health San Diego Pace/Senior Health Services | Federally qualified health center | Corporate Officer | Aug 24, 2017 |
| San Ysidro Health El Cajon/San Diego Pace | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health South Bay | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Maternal & Child Health Center | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Alpine Family Medicine | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Mountain Health Family Medicine | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Santee Family Medicine | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Community Heights Family Medicine | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Care View Health Center | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Escondido Family Medicine | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Sherman Heights | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Urgent Care | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health San Diego Pace Vista | Federally qualified health center | Corporate Officer | Aug 24, 2017 |
| San Ysidro Health Precision Park | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health South Bay Latino Research Center | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Wellness Clinic | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health South Bay Pediatrics | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Casa | Federally qualified health center | Corporate Director | Aug 24, 2017 |
| San Ysidro Health Senior Dental Center | Federally qualified health center | Corporate Director | Aug 24, 2017 |
Owned or controlled facilities with NPI records 21
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
Corporate Director
-
dba San Ysidro Health Maternal & Child Health Center
- Federally Qualified Health Center (FQHC)
- San Ysidro, CA
- NPI 1558852947
Corporate Director
-
dba San Ysidro Health CASA
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1568182046
Corporate Director
-
dba San Ysidro Health South Bay Pediatrics
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1184135873
Corporate Director
-
dba San Ysidro Health Urgent Care
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1366053167
Corporate Director
-
dba San Ysidro Care View Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1821625278
Corporate Director
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
Corporate Director
-
dba San Diego PACE Vista
- PACE Provider Organization
- Vista, CA
- NPI 1124793732
Corporate Officer
-
dba San Ysidro Health Mountain Health Family Medicine
- Federally Qualified Health Center (FQHC)
- Campo, CA
- NPI 1174164719
Corporate Director
-
dba San Ysidro Health Community Heights Family Medicine
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1205477841
Corporate Director
-
dba San Diego PACE San Ysidro
- PACE Provider Organization
- San Ysidro, CA
- NPI 1265843122
Corporate Officer
-
dba San Ysidro Health Chula Vista
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1326486861
Corporate Director
Organizations & group practices 7
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Optometrist
- La Mesa, CA
- NPI 1003386947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1346328531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 UNIVERSITY AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413820",
"telephone_number": "619-461-4913",
"fax_number": "619-465-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 UNIVERSITY AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413820",
"telephone_number": "619-461-4913",
"fax_number": "619-465-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARABO",
"first_name": "KUSAY",
"middle_name": "ISAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12543",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.