Dr Carrie R Kubota & Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9907TPA Issued in CA

Legal business name

DR CARRIE R KUBOTA & ASSOCIATES

Practice address

1197 D E Los Angeles Ave
Simi Valley, CA 93065

Phone

(805) 577-9177

Fax

(805) 527-8220

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carrie R Kubota, ODNPI 1356577217

Title

Owner Dr

Phone

(805) 577-9177

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie R Kubota, O.D.

  • Optometrist
  • Simi Valley, CA
  • NPI 1356577217
  NPD (past) Authorized official
• Eugene Yoichi Osako, O.D.

  • Optometrist
  • Culver City, CA
  • NPI 1376683409
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609833367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 D E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-577-9177",
            "fax_number": "805-527-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 D E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-577-9177",
            "fax_number": "805-527-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARRIE R KUBOTA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBOTA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DR",
        "authorized_official_telephone_number": "805-577-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9907TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Michael Donart, LPT
• Dong Le, OD, Inc.
• Martha Mantilla Donovan, M.D.
• Anna Michelle Dorch, RN, BSN, PHN
• Donald Gratton Downs, MD.
• Dr. Dantae D Davies MD
• Dr. Porter Sports Chiropractic & Wellness Inc.
• Dr. Thomas Truong, O.D., Inc.
• Melanie Sue Dreher
• Michael Richard Drucker, M.D.

• Optometrist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.