Individual provider Active NPI

Christina Kitayo Arakaki

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1396238671
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33937TLG Issued in CA
Practice address
101 Laguna Rd Ste C
Fullerton, CA 92835-3637
Phone
(714) 888-2080
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33937TLG CA Primary

Addresses

Primary practice location

101 Laguna Rd Ste C
Fullerton, CA 92835-3637

Mailing address

101 Laguna Rd Ste C
Fullerton, CA 92835-3637
Phone (714) 888-2080

Other identifiers 1

IdentifierTypeStateIssuer
33937TLGOtherCAOPTOMETRY LICENSE

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
I20180719003700 CA Practitioner - Optometry 3476800558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 N Harbor Blvd
Suite 130
Fullerton, CA 92835-4156
Phone (714) 831-0091

Merit-based Incentive Payment System (MIPS)

Final score
74.81 of 100Reported as group
Quality
95.75
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
81.78
Promoting interoperability
74
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33937TLGCAMDOptometrist
33937CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Jeffrey V. Winston, MD a Professional Corp Optometrist CurrentSince Jun 26, 2018 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

101 Laguna Rd
Ste C
Fullerton, CA 92835
Phone (714) 738-5525

1400 N Harbor Blvd
Ste 101
Fullerton, CA 92835
Phone (714) 888-2080

1400 N Harbor Blvd
Ste 130
Fullerton, CA 92835
Phone (714) 750-8443

4220 Von Karman Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 284-7428

Organizations & group practices 3

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1396238671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353637",
            "telephone_number": "714-888-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353637",
            "telephone_number": "714-888-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAKAKI",
        "first_name": "CHRISTINA",
        "middle_name": "KITAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33937TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "33937TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.