Individual provider Active NPI

Gina Rumi Nakamura-NG, O.D.

  • Optometrist
  • Gardena, CA
National Provider Identifier
1699749820
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10386T Issued in CA
Practice address
18525 S Western Ave
Gardena, CA 90248-3830
Phone
(310) 538-3937
Fax
(310) 538-6952
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10386T CA Primary

Addresses

Primary practice location

18525 S Western Ave
Gardena, CA 90248-3830

Mailing address

18525 S Western Ave
Gardena, CA 90248-3830
Phone (310) 538-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD010386MedicaidCA

Other names 1

  • Dr. Gina Rumi Nakamura Professional name

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
I20101012001162 CA Practitioner - Optometry 9931391745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18525 S Western Ave
Gardena, CA 90248-3830

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10386CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Miyamoto, O.D Optometrist Past Accepting new patients

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1699749820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA-NG",
        "first_name": "GINA",
        "middle_name": "RUMI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10386T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD010386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "NAKAMURA",
            "middle_name": "RUMI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.