Active NPI
Donald Arthur Yochem, O.D.
- Optometrist
- Apple Valley, CA
National Provider Identifier
1720161565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4658T
- Practice address
- 21825 Outer Hwy 18
Suite a
Apple Valley, CA 92307 - Phone
- (760) 247-5842
- Fax
- (760) 247-7250
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4658T | CA | Primary |
Addresses
Primary practice location
21825 Outer Hwy 18
Suite a
Apple Valley, CA 92307
Mailing address
PO Box 1423
Apple Valley, CA 92307-0026
Phone (760) 247-5842
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45911 | Other | CA | SAFEGUARD |
| 11059 | Medicaid | CA | |
| SD0046581 | Medicaid | CA | |
| 011283 | Other | CA | BLOCK VISION |
| 4658 | Other | CA | HEALTHNET |
| 17084 | Other | UT | SPECTERA |
| CA4658 | Other | OH | EYE MED VISION |
| 38067 | Other | CA | DAVIS VISION |
| 3367 | Other | CA | MEDICAL EYE SERVICES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4658T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720161565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1423",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923070026",
"telephone_number": "760-247-5842",
"fax_number": "760-247-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21825 OUTER HWY 18",
"address_2": "SUITE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-247-5842",
"fax_number": "760-247-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCHEM",
"first_name": "DONALD",
"middle_name": "ARTHUR",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4658T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD",
"identifier": "45911",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11059",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0046581",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "011283",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4658",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "17084",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED VISION",
"identifier": "CA4658",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "38067",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "3367",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.