Active NPI
Thomas Yamaguchi II, OD
- Optometrist
- Los Angeles, CA
National Provider Identifier
1376610568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT6582TPA
- Practice address
- 4733 W Sunset Blvd
Los Angeles, CA 90027-6021 - Phone
- (323) 783-4011
- NPI assigned
- Nov 30, 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 | OPT6582TPA | CA | Primary |
Addresses
Primary practice location
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Mailing address
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Phone (323) 783-4011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT6582TPA | CA | MD | Optometrist |
| 6582 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1376610568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276021",
"telephone_number": "323-783-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276021",
"telephone_number": "323-783-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAGUCHI",
"first_name": "THOMAS",
"name_suffix": "II",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT6582TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Nathan Richard Yamagata, RN
- Dean Takao Yamaguchi, M.D., PH.D.
- Kent Takao Yamaguchi Jr., M.D.
- Miles J Yamaguchi, MD
- Sarah Kiyomi Yamaguchi, M.D.
- Mary Nina Yamaki, REGISTERED NURSE, LI
- Diane Marie Yamamoto Skowron, PHARMD, CCH, CH, CI
- Autumn Yamamoto, ACSW, MSW, MED
- Christopher Michael Yamamoto, PHARMD
- Cynthia Ann Yamamoto, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.