Active NPI
Jamie Totsubo, O.D.
- Optometrist
- San Francisco, CA
National Provider Identifier
1609927151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7592
- Practice address
- 1826A Buchanan St
San Francisco, CA 94115-3211 - Phone
- (415) 931-1903
- Fax
- (415) 931-1904
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7592 | CA | Primary |
Addresses
Primary practice location
1826A Buchanan St
San Francisco, CA 94115-3211
Mailing address
1826A Buchanan St
San Francisco, CA 94115-3211
Phone (415) 931-1903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0075920 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7592 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609927151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826A BUCHANAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153211",
"telephone_number": "415-931-1903",
"fax_number": "415-931-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826A BUCHANAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153211",
"telephone_number": "415-931-1903",
"fax_number": "415-931-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTSUBO",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0075920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, 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.