Individual provider Active NPI

Kusay Isam Arabo, O.D.

  • Optometrist
  • La Mesa, CA
National Provider Identifier
1346328531
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12543 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221001095 CA Practitioner - Optometry 7517989213 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12543CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 6, 2005 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 6, 2005 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Vision Solutions Optometry, Inc. Optometrist PastSince Apr 1, 2019 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Dr Caroline G Cauchi, O.D., Inc Optometrist PastSince Feb 23, 2017 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.

FacilityTypeRoleSince
San Ysidro Health Paradise HillsNational City, CA, CCN 551004 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Chula VistaChula Vista, CA, CCN 751024 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health San Diego Pace/Senior Health ServicesSan Ysidro, CA, CCN 751102 Federally qualified health center Corporate Officer Aug 24, 2017
San Ysidro Health El Cajon/San Diego PaceEl Cajon, CA, CCN 751822 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health South BayNational City, CA, CCN 751950 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Maternal & Child Health CenterSan Diego, CA, CCN 921157 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Alpine Family MedicineAlpine, CA, CCN 921867 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Mountain Health Family MedicineCampo, CA, CCN 921883 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Santee Family MedicineSantee, CA, CCN 921896 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Community Heights Family MedicineSan Diego, CA, CCN 921880 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Care View Health CenterSan Diego, CA, CCN 921884 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Escondido Family MedicineEscondido, CA, CCN 921894 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Sherman HeightsSan Diego, CA, CCN 921898 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Urgent CareChula Vista, CA, CCN 921906 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health San Diego Pace VistaVista, CA, CCN A01098 Federally qualified health center Corporate Officer Aug 24, 2017
San Ysidro Health Precision ParkSan Diego, CA, CCN A01139 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health South Bay Latino Research CenterChula Vista, CA, CCN A01812 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Wellness ClinicChula Vista, CA, CCN A01816 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health South Bay PediatricsChula Vista, CA, CCN A01830 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health CasaSan Diego, CA, CCN A01827 Federally qualified health center Corporate Director Aug 24, 2017
San Ysidro Health Senior Dental CenterSan Diego, CA, CCN A01860 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.

View all 21

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.

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

Verify at the official NPI Registry.