Active NPI
Mariko Dawn Takemoto Yamashiro, O.D.
- Optometrist
- Monrovia, CA
National Provider Identifier
1457404147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 12863 TPA
- Practice address
- 937 W Huntington Dr
Monrovia, CA 91016-3111 - Phone
- (626) 357-0408
- Fax
- (626) 357-6768
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- 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 | OPT 12863 TPA | CA | Primary |
Addresses
Primary practice location
937 W Huntington Dr
Monrovia, CA 91016-3111
Mailing address
937 W Huntington Dr
Monrovia, CA 91016-3111
Phone (626) 357-0408
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
937 W Huntington Dr
Monrovia, CA 91016-3111
Phone (626) 357-0408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 12863 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Quest Optometry, Inc. | Optometrist | Current | Accepting new patients |
Locations
937 W Huntington Dr
Monrovia, CA 91016
Phone (626) 357-0408
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.
-
- Optometrist
- Monrovia, CA
- NPI 1588638407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1457404147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163111",
"telephone_number": "626-357-0408",
"fax_number": "626-357-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163111",
"telephone_number": "626-357-0408",
"fax_number": "626-357-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMASHIRO",
"first_name": "MARIKO",
"middle_name": "DAWN TAKEMOTO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 12863 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.