Organization Active NPI

Dr Debbie M Goya O D and Dr Janis L Mayeda O D Inc

  • Optometrist
  • Torrance, CA
National Provider Identifier
1619146800
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10514T Issued in CA
Legal business name
DR DEBBIE M GOYA O D AND DR JANIS L MAYEDA O D INC
Practice address
2202 Artesia Blvd Ste a
Torrance, CA 90504-2963
Phone
(310) 327-4878
Fax
(310) 327-0467
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Janis Mayeda, O.D.NPI 1003888728
Title
Vice President
Phone
(310) 327-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10514T CA Primary

Addresses

Primary practice location

2202 Artesia Blvd Ste a
Torrance, CA 90504-2963

Mailing address

2202 W Artesia Blvd Ste a
Torrance, CA 90504-2963
Phone (310) 327-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606001249 CA Part B Supplier - Clinic/Group Practice 1456394998 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

2202 Artesia Blvd
Ste A
Torrance, CA 90504
Phone (310) 327-4878

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1619146800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 W ARTESIA BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042963",
            "telephone_number": "310-327-4878",
            "fax_number": "310-327-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ARTESIA BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042963",
            "telephone_number": "310-327-4878",
            "fax_number": "310-327-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DEBBIE M GOYA O D AND DR JANIS L MAYEDA O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MAYEDA",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-327-4878",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10514T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.