Individual provider Active NPI

Dana Ann Nakagawa, OD

  • Optometrist
  • Rancho Palos Verdes, CA
National Provider Identifier
1346972841
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA9319T Issued in CA
Practice address
5921 Armaga Spring Rd Unit a
Rancho Palos Verdes, CA 90275-4832
Phone
(310) 717-6276
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA9319T CA Primary

Addresses

Primary practice location

5921 Armaga Spring Rd Unit a
Rancho Palos Verdes, CA 90275-4832

Mailing address

5921 Armaga Spring Rd Unit a
Rancho Palos Verdes, CA 90275-4832
Phone (310) 717-6276

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

LicenseStateTypeSpecialty
CA9319TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs of Los Angeles I Optometry Corporation Optometrist Current 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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1346972841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 ARMAGA SPRING RD UNIT A",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754832",
            "telephone_number": "310-717-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 ARMAGA SPRING RD UNIT A",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754832",
            "telephone_number": "310-717-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "DANA",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9319T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.