Individual provider Active NPI

Cindy Yoshizaki, O.D.

  • Optometrist
  • Lakewood, CA
National Provider Identifier
1609903327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10873T Issued in CA
Practice address
17 Lakewood Center Mall
Lakewood, CA 90712-2417
Phone
(562) 633-6443
NPI assigned
Feb 28, 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 10873T CA Primary

Addresses

Primary practice location

17 Lakewood Center Mall
Lakewood, CA 90712-2417

Mailing address

1513 Voyager Dr
Tustin, CA 92782-1727
Phone (949) 857-0181

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
I20230721001021 CA Practitioner - Optometry 8820458847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10873TCAMDOptometrist
10873CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jun 18, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jun 18, 2023 Accepting new patients
Craig B. Scheffel, O.D., Inc. Optometrist Past Accepting new patients

Locations

4074 Hardwick St
Lakewood, CA 90712
Phone (562) 633-6443

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 545-4585

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609903327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VOYAGER DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821727",
            "telephone_number": "949-857-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LAKEWOOD CENTER MALL",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122417",
            "telephone_number": "562-633-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIZAKI",
        "first_name": "CINDY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10873T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.