Individual provider Active NPI

Linda Yoshimura, O.D.

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1558414078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8617T Issued in CA
Practice address
843 Newport Center Dr
Newport Fashion Island #84
Newport Beach, CA 92660-6943
Phone
(949) 718-2040
Fax
(949) 718-2044
NPI assigned
Jan 19, 2007
Sex
Female
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 OPT8617T CA Primary

Addresses

Primary practice location

843 Newport Center Dr
Newport Fashion Island #84
Newport Beach, CA 92660-6943

Mailing address

21300 Via del Aguila
Yorba Linda, CA 92887-3569
Phone (714) 777-1434

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
OPT8617TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558414078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 VIA DEL AGUILA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873569",
            "telephone_number": "714-777-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 NEWPORT CENTER DR",
            "address_2": "NEWPORT FASHION ISLAND #84",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606943",
            "telephone_number": "949-718-2040",
            "fax_number": "949-718-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIMURA",
        "first_name": "LINDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8617T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.