Active NPI
Sara Shimokochi
- Optometrist
- Monrovia, CA
National Provider Identifier
1346824810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35304-TLG
- Practice address
- 618 W Huntington Dr
Monrovia, CA 91016-3206 - Phone
- (626) 303-1966
- NPI assigned
- May 10, 2021
- Sex
- Female
- 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 | 35304-TLG | CA | Primary |
Addresses
Primary practice location
618 W Huntington Dr
Monrovia, CA 91016-3206
Mailing address
PO Box 284
Monterey Park, CA 91754-0284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35304-TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1346824810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917540284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163206",
"telephone_number": "626-303-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMOKOCHI",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35304-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.