Individual provider Active NPI

John Akamatsu, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1528192960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9824T Issued in CA
Practice address
237 N Brand Blvd
Glendale, CA 91203-2609
Phone
(818) 244-4169
NPI assigned
Mar 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9824T CA Primary

Addresses

Primary practice location

237 N Brand Blvd
Glendale, CA 91203-2609

Mailing address

237 N Brand Blvd
Glendale, CA 91203-2609
Phone (818) 244-4169

Other identifiers 1

IdentifierTypeStateIssuer
SD0098240MedicaidCA

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
I20210329002390 CA Practitioner - Optometry 1658788260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9824TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John Akamatsu, O.D., Inc Optometrist CurrentSince Nov 26, 2020 Accepting new patients

Locations

237 N Brand Blvd
Glendale, CA 91203
Phone (818) 244-4169

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528192960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032609",
            "telephone_number": "818-244-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032609",
            "telephone_number": "818-244-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAMATSU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9824T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0098240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.