Individual provider Active NPI

Korey Fukui, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1689218208
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34459TLG Issued in CA
Practice address
6000 Physicians Blvd BLDG D
Bakersfield, CA 93301-5840
Phone
(661) 327-4499
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34459TLG CA Primary

Addresses

Primary practice location

6000 Physicians Blvd BLDG D
Bakersfield, CA 93301-5840

Mailing address

1730 Bradbury Dr
Montebello, CA 90640-2148
Phone (626) 235-3625

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34459TLGCAMDOptometrist
34459CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Past Accepting new patients

Organizations & group practices 1

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1689218208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BRADBURY DR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402148",
            "telephone_number": "626-235-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 PHYSICIANS BLVD BLDG D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015840",
            "telephone_number": "661-327-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUI",
        "first_name": "KOREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34459TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.