Individual provider Active NPI

Randy M Yamada, O.D.

  • Optometrist
  • Daly City, CA
National Provider Identifier
1639272669
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7392T Issued in CA
Practice address
326 Westlake Ctr
Daly City, CA 94015-1431
Phone
(650) 449-0071
Fax
(650) 992-1105
NPI assigned
Sep 6, 2006
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7392T CA Primary

Addresses

Primary practice location

326 Westlake Ctr
Daly City, CA 94015-1431

Mailing address

326 Westlake Ctr
Daly City, CA 94015-1431
Phone (650) 449-0071

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
I20101105000549 CA Practitioner - Optometry 7810181690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

326 Westlake Ctr
Daly City, CA 94015-1431
Phone (650) 449-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7392CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Vision Center Optometry Inc, a Professional Optometric Corp Optometrist CurrentSince Apr 22, 2014 Accepting new patients

Locations

326 Westlake Ctr
Daly City, CA 94015
Phone (650) 449-0071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1639272669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151431",
            "telephone_number": "650-449-0071",
            "fax_number": "650-992-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151431",
            "telephone_number": "650-449-0071",
            "fax_number": "650-992-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMADA",
        "first_name": "RANDY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7392T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.