Individual provider Active NPI

Joy E. Kataoka, O.D.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1790711000
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8256T Issued in CA
Practice address
19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235
Phone
(714) 962-6601
Fax
(714) 965-0943
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8256T CA Primary

Addresses

Primary practice location

19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235

Mailing address

19126 Magnolia St
Suite 105
Huntington Beach, CA 92646-2235
Phone (714) 962-6601

Other names 1

  • Joy Kataoka Hardy Other 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
I20100614000714 CA Practitioner - Optometry 4688704919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey S Dang IncGroup PAC ID 5395086326, 3 clinicians

Practice addresses (Care Compare)

19746 Beach Blvd
Huntington Beach, CA 92648-2988
Phone (714) 946-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8256TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Dang Inc Optometrist CurrentSince Aug 20, 2024 Accepting new patients

Locations

19746 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 946-3811

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1790711000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235",
            "telephone_number": "714-962-6601",
            "fax_number": "714-965-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19126 MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462235",
            "telephone_number": "714-962-6601",
            "fax_number": "714-965-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAOKA",
        "first_name": "JOY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8256T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "HARDY",
            "middle_name": "KATAOKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.