Nancy Tang Imamoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11361T Issued in CA

Practice address

1713 W Artesia Blvd
Gardena, CA 90248-3220

Phone

(310) 329-4128

Fax

(310) 329-9180

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Southern California College of Optometry, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nancy T Imamoto OD PC

  • Optometrist
  • Gardena, CA
  • NPI 1184008294
  Medicare reassignment NPD Authorized official
• Joel Goodman OD a Prof Corp

  • Optometrist
  • Gardena, CA
  • NPI 1063719714
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1790768794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W ARTESIA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483220",
            "telephone_number": "310-329-4128",
            "fax_number": "310-329-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W ARTESIA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483220",
            "telephone_number": "310-329-4128",
            "fax_number": "310-329-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAMOTO",
        "first_name": "NANCY",
        "middle_name": "TANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11361T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "16618",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CA1361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Igcn Healthcare Partners
• Patrick L. Ignacio, M.D.
• Kevin Owen Iiyama
• Georgia Nnedinma Ilouno
• Imagine Behavioral Services Ca, LLC
• Patrick Imamura
• Patricia Ann Imle, MS SLP
• Inglewood Home Health Care Agency
• Integrated Specialty Medical Associates Ipa, Inc
• Sedie Aracely Iraheta

• Optometrist in Gardena, CA
• Providers in Gardena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.