Individual provider Active NPI

Tamara K Gee, OD

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1700105582
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11305T Issued in CA
Practice address
3501 Jamboree Rd
Suite 1100
Newport Beach, CA 92660-2939
Phone
(949) 951-1457
Fax
(949) 768-8902
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 11305T CA Primary

Addresses

Primary practice location

3501 Jamboree Rd
Suite 1100
Newport Beach, CA 92660-2939

Mailing address

3501 Jamboree Rd
Suite 1100
Newport Beach, CA 92660-2939
Phone (949) 951-1457

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
I20100823000812 CA Practitioner - Optometry 3274667555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11305TCAMDOptometrist
11305CAMDOccupational Therapist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
George M. Salib, M.D. Inc. CurrentSince Oct 20, 2013 Accepting new patients
Jimmy K. Lee, M.D. Inc. PastSince Oct 20, 2013 Accepting new patients
Kourosh Alexander Dastgheib, M.D., Inc Past Accepting new patients

Locations

24422 Avenida de la Carlota
Ste 110
Laguna Hills, CA 92653
Phone (949) 770-1322

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1700105582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-951-1457",
            "fax_number": "949-768-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-951-1457",
            "fax_number": "949-768-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "TAMARA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11305T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.