Active NPI
Wayne Takao Yoshioka, OD
- Optometrist
- Gardena, CA
National Provider Identifier
1376514729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6583T
- Practice address
- 1425 W Artesia Blvd
#32
Gardena, CA 90248 - Phone
- (310) 769-1642
- Fax
- (310) 769-1398
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6583T | CA | Primary |
Addresses
Primary practice location
1425 W Artesia Blvd
#32
Gardena, CA 90248
Mailing address
2829 Caricia Dr
Hacienda HTS, CA 91745
Phone (626) 961-6167
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 |
|---|---|---|---|
| 6583T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ishigo Optometry, Inc. | Past | Accepting new patients | |
| Yoshioka Optometry Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Gardena, CA
- NPI 1184064586
-
- Health Service Clinic/Center
- Gardena, CA
- NPI 1518431436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372464000000",
"number": "1376514729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 CARICIA DR",
"city": "HACIENDA HTS",
"state": "CA",
"postal_code": "91745",
"telephone_number": "626-961-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ARTESIA BLVD",
"address_2": "#32",
"city": "GARDENA",
"state": "CA",
"postal_code": "90248",
"telephone_number": "310-769-1642",
"fax_number": "310-769-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHIOKA",
"first_name": "WAYNE",
"middle_name": "TAKAO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2013-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6583T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.