Individual provider Active NPI

Cindy Yumi Sakihara, OD

  • Optometrist
  • Fremont, CA
National Provider Identifier
1699734715
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10090T Issued in CA
Practice address
39355 California St
Ste 103
Fremont, CA 94538-1447
Phone
(510) 744-2010
Fax
(510) 744-2015
NPI assigned
Mar 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10090T CA Primary

Addresses

Primary practice location

39355 California St
Ste 103
Fremont, CA 94538-1447

Mailing address

39355 California St
Ste 103
Fremont, CA 94538-1447
Phone (510) 744-2010

Other identifiers 1

IdentifierTypeStateIssuer
GR0022890MedicaidCA

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
I20080711000523 CA Practitioner - Optometry 0244302982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Optometric GroupGroup PAC ID 9638118342, 5 clinicians

Practice addresses (Care Compare)

39355 California St
Suite 103
Fremont, CA 94538-1447
Phone (510) 744-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10090TCAMDOptometrist
10090CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Optometric Group Optometrist CurrentSince Nov 30, 1993 Accepting new patients

Locations

39355 California St
Ste 103
Fremont, CA 94538
Phone (510) 744-2010

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1699734715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39355 CALIFORNIA ST",
            "address_2": "STE 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381447",
            "telephone_number": "510-744-2010",
            "fax_number": "510-744-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39355 CALIFORNIA ST",
            "address_2": "STE 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381447",
            "telephone_number": "510-744-2010",
            "fax_number": "510-744-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKIHARA",
        "first_name": "CINDY",
        "middle_name": "YUMI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10090T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.