Organization Active NPI

Jon H. Yamane, O.D., Inc.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1730432865
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12380 Issued in CA
Legal business name
JON H. YAMANE, O.D., INC.
Practice address
18685 Main St
Suite 105
Huntington Beach, CA 92648-1723
Phone
(714) 847-1271
Fax
(714) 847-2031
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Jon Yamane, O.D.NPI 1417927047
Title
Owner
Phone
(714) 847-1271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12380 CA Primary

Addresses

Primary practice location

18685 Main St
Suite 105
Huntington Beach, CA 92648-1723

Mailing address

18685 Main St
Suite 105
Huntington Beach, CA 92648-1723
Phone (714) 847-1271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171114001135 CA Part B Supplier - Clinic/Group Practice 3577829282 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

1545 Nutmeg Pl
Costa Mesa, CA 92626
Phone (714) 435-1150

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1730432865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18685 MAIN ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481723",
            "telephone_number": "714-847-1271",
            "fax_number": "714-847-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18685 MAIN ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481723",
            "telephone_number": "714-847-1271",
            "fax_number": "714-847-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON H. YAMANE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "YAMANE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-847-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.