NPIMap

Organization Active NPI

Glenn S Nakayama OD

  • Optometrist
  • Alhambra, CA
National Provider Identifier
1790919108
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6521 Issued in CA
Legal business name
GLENN S NAKAYAMA OD
Practice address
100 E Huntington Dr
Suite 102
Alhambra, CA 91801-1022
Phone
(626) 289-9171
Fax
(626) 289-1026
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Glenn Shigeru Nakayama, ODNPI 1104897610
Title
Owner
Phone
(626) 289-9171

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 OPT6521 CA Primary

Addresses

Primary practice location

100 E Huntington Dr
Suite 102
Alhambra, CA 91801-1022

Mailing address

100 E Huntington Dr
Suite 102
Alhambra, CA 91801-1022
Phone (626) 289-9171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1790919108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR",
            "address_2": "SUITE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "626-289-9171",
            "fax_number": "626-289-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR",
            "address_2": "SUITE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "626-289-9171",
            "fax_number": "626-289-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN S NAKAYAMA OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "NAKAYAMA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "SHIGERU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-289-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.