Individual provider Active NPI

William Pimienta, O.D.

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1477588127
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6099T Issued in CA
Practice address
4850 S Bradley Rd
Ste. a-2
Santa Maria, CA 93455-5071
Phone
(805) 937-9532
Fax
(805) 937-6009
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6099T CA Primary

Addresses

Primary practice location

4850 S Bradley Rd
Ste. a-2
Santa Maria, CA 93455-5071

Mailing address

4850 S Bradley Rd
Ste. a-2
Santa Maria, CA 93455-5071
Phone (805) 937-9532

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

LicenseStateTypeSpecialty
OPT6099TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1477588127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S BRADLEY RD",
            "address_2": "STE. A-2",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555071",
            "telephone_number": "805-937-9532",
            "fax_number": "805-937-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S BRADLEY RD",
            "address_2": "STE. A-2",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555071",
            "telephone_number": "805-937-9532",
            "fax_number": "805-937-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMIENTA",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6099T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.