Organization Active NPI

Sam M Otsuji

  • Optometrist
  • Whittier, CA
National Provider Identifier
1467738112
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5194TPA Issued in CA
Legal business name
SAM M OTSUJI
Practice address
13313 Telegraph Rd
Whittier, CA 90605-3228
Phone
(562) 946-1957
Fax
(562) 941-6155
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Sam M Otsuji, O.D.NPI 1922079789
Title
Owner
Phone
(562) 946-1957

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT5194TPA CA Primary

Addresses

Primary practice location

13313 Telegraph Rd
Whittier, CA 90605-3228

Mailing address

13313 Telegraph Rd
Whittier, CA 90605-3228
Phone (562) 946-1957

Other identifiers 1

IdentifierTypeStateIssuer
SD0005194MedicaidCA

National Provider Directory

National Provider Directory

Locations

13313 Telegraph Rd
Whittier, CA 90605
Phone (562) 946-1957

Practitioners & affiliated clinicians

Practitioners 4

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": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1467738112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053228",
            "telephone_number": "562-946-1957",
            "fax_number": "562-941-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053228",
            "telephone_number": "562-946-1957",
            "fax_number": "562-941-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM M OTSUJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "OTSUJI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-946-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5194TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0005194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.