Individual provider Active NPI

Mark Edward Nakano, OD

  • Optometrist
  • Torrance, CA
National Provider Identifier
1821072133
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8818TPL Issued in CA
Practice address
4201 Torrance Blvd.
Suite 580
Torrance, CA 90503
Phone
(310) 316-6726
Fax
(310) 316-6856
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8818TPL CA Primary

Addresses

Primary practice location

4201 Torrance Blvd.
Suite 580
Torrance, CA 90503

Mailing address

4201 Torrance Blvd.
Suite 580
Torrance, CA 90503
Phone (310) 316-6726

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
I20031117000907 CA Practitioner - Optometry 1456265172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall B Ketchum UniversityGroup PAC ID 9739075177, 56 clinicians

Practice addresses (Care Compare)

3916 S Broadway
Los Angeles, CA 90037-1307
Phone (323) 234-9137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8818TPLCAMDOptometrist
8818CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University CurrentSince Aug 22, 2011 Accepting new patients
Angels for Sight Optometrist CurrentSince Aug 1, 2026 Accepting new patients
Marshall B. Ketchum University Optometrist CurrentSince Aug 22, 2011 Accepting new patients
Mark Nakano Optometric Corporation Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Henry T. Noguchi, M.D., Inc Past Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

2129 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 562-7363

3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137

4201 Torrance Blvd
Ste 580
Torrance, CA 90503
Phone (310) 316-6726

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mark.nakano.p1@direct.scfhc.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1821072133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD.",
            "address_2": "SUITE 580",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-316-6726",
            "fax_number": "310-316-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD.",
            "address_2": "SUITE 580",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-316-6726",
            "fax_number": "310-316-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKANO",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8818TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.