Active NPI
Mark Edward Nakano, OD
- Optometrist
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8818TPL
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8818TPL | CA | MD | Optometrist |
| 8818 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall B. Ketchum University | Current | Accepting new patients | |
| Angels for Sight | Optometrist | Current | Accepting new patients |
| Marshall B. Ketchum University | Optometrist | Current | Accepting new patients |
| Mark Nakano Optometric Corporation | Optometrist | Current | 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
- mark.nakano.p1@direct.scfhc.nextgenshare.com
- 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.
-
- Optometrist
- Anaheim, CA
- NPI 1720101876
-
- Optometrist
- Long Beach, CA
- NPI 1881408433
-
- Optometrist
- Torrance, CA
- NPI 1508999269
-
- Multi-Specialty Clinic/Center
- Anaheim, CA
- NPI 1174037493
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1740349539
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.