Individual provider Active NPI

Scott Marshall Kamena, OD

  • Optometrist
  • Livermore, CA
National Provider Identifier
1487734505
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11158TPA Issued in CA
Practice address
1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143
Phone
(925) 443-3553
Fax
(925) 447-8500
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT11158TPA CA Primary

Addresses

Primary practice location

1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143

Mailing address

1171 Murrieta Blvd Ste 100
Livermore, CA 94550-4143
Phone (925) 443-3553

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
I20040729000607 CA Practitioner - Optometry 6800866971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Murrieta Optometry IncGroup PAC ID 8729058995, 3 clinicians

Practice addresses (Care Compare)

1171 Murrieta Blvd
Suite 100
Livermore, CA 94550-4143
Phone (925) 443-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT11158TPACAMDOptometrist
11158CAMDOccupational Therapist
1158CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Optometry Inc Optometrist CurrentSince Apr 1, 2004 Accepting new patients

Locations

1171 Murrieta Blvd
Ste 100
Livermore, CA 94550
Phone (925) 443-3553

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1487734505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD STE 100",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-443-3553",
            "fax_number": "925-447-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD STE 100",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-443-3553",
            "fax_number": "925-447-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENA",
        "first_name": "SCOTT",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11158TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.