Individual provider Active NPI

Sabrina Yakub, O.D.

  • Optometrist
  • Westminster, CA
National Provider Identifier
1629408158
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14793 TLG Issued in CA
Practice address
15622 Brookhurst St
Westminster, CA 92683-7573
Phone
(714) 775-4553
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14793 TLG CA Primary

Addresses

Primary practice location

15622 Brookhurst St
Westminster, CA 92683-7573

Mailing address

15622 Brookhurst St
Westminster, CA 92683-7573
Phone (714) 775-4553

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
I20141124002149 CA Practitioner - Optometry 8325360506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paje Optometric a Professional CorporationGroup PAC ID 7618904665, 4 clinicians

Practice addresses (Care Compare)

2414 S Fairview St
Suite 103
Santa Ana, CA 92704-5318
Phone (909) 792-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14793 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paje Optometric a Professional Corporation Optometrist CurrentSince Jul 30, 2014 Accepting new patients
Hilton Manor, LLC Past Accepting new patients

Locations

2615 Grand Ave
Long Beach, CA 90815
Phone (562) 283-0502

1618 Laurel Ave
Redlands, CA 92373
Phone (909) 792-6050

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

2414 S Fairview St
Ste 103
Santa Ana, CA 92704
Phone (714) 557-9442

240 Hospital Cir
Westminster, CA 92683
Phone (714) 892-6686

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1629408158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837573",
            "telephone_number": "714-775-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15622 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837573",
            "telephone_number": "714-775-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUB",
        "first_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14793 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.