NPIMap

Organization Active NPI

Harvey H Yamamoto, OD, Inc.

  • Optometrist
  • Ontario, CA
National Provider Identifier
1447227384
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4477T Issued in CA
Legal business name
HARVEY H YAMAMOTO, OD, INC.
Practice address
417 N Euclid Ave
Ontario, CA 91762-3427
Phone
(909) 986-9951
Fax
(909) 986-9812
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Harvey H. Yamamoto, ODNPI 1881661700
Title
Owner/Optometrist
Phone
(909) 986-9951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4477T CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 10183T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 11326T CA

Addresses

Primary practice location

417 N Euclid Ave
Ontario, CA 91762-3427

Mailing address

417 N Euclid Ave
Ontario, CA 91762-3427
Phone (909) 986-9951

Other identifiers 1

IdentifierTypeStateIssuer
GSD000750MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000556 CA Part B Supplier - Clinic/Group Practice 0446299168 Receives reassigned benefits from 2 practitioners
Practice locations: Ontario, CA

National Provider Directory

National Provider Directory

Locations

417 N Euclid Ave
Ontario, CA 91762
Phone (909) 986-9951

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1447227384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623427",
            "telephone_number": "909-986-9951",
            "fax_number": "909-986-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623427",
            "telephone_number": "909-986-9951",
            "fax_number": "909-986-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY H YAMAMOTO, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "909-986-9951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4477T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10183T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11326T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.