Individual provider Active NPI

Katalina Ashe Rowland Yandell, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1871071589
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34040TLG Issued in CA
Practice address
377 Santana Row Ste 1115
San Jose, CA 95128-2058
Phone
(408) 502-5020
Fax
(408) 389-8261
NPI assigned
Aug 3, 2018
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34040TLG CA Primary

Addresses

Primary practice location

377 Santana Row Ste 1115
San Jose, CA 95128-2058

Mailing address

377 Santana Row Ste 1115
San Jose, CA 95128-2058
Phone (408) 502-5020

Other practice location 1

6000 Bollinger Canyon Rd Ste 1104
San Ramon, CA 94583-2305
Phone (925) 725-1745

Other practice location 2

194 Hillsdale Shopping Center
San Mateo, CA 94403-3409
Phone (650) 341-8080

Other practice location 3

9309 Glacier Hwy Ste A103
Juneau, AK 99801-9300
Phone (907) 789-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181002000276 CA Practitioner - Optometry 3870844830 Reassigns benefits to 1 organization
I20230215002659 AK Practitioner - Optometry 3870844830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Y to OD IncGroup PAC ID 8022440668, 5 clinicians

Practice addresses (Care Compare)

194 Hillsdale Shopping Ctr
San Mateo, CA 94403-3409
Phone (650) 341-8080

9309 Glacier Hwy
Suite A103
Juneau, AK 99801-9300
Phone (907) 789-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34040CAMDSocial Worker
34040TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William Y. to, O.D., Inc Optometrist CurrentSince Aug 8, 2019 Accepting new patients
Michael J Bennett Optometrist PastSince Nov 15, 2022 Accepting new patients

Locations

9309 Glacier Hwy
Ste A103
Juneau, AK 99801
Phone (907) 789-3175

1750 Lundy Ave
Unit 612899
San Jose, CA 95161

377 Santana Row
Ste 1115
San Jose, CA 95128
Phone (408) 502-5020

194 Hillsdale Shopping Ctr
San Mateo, CA 94403
Phone (650) 341-8080

6000 Bollinger Canyon Rd
Ste 1104
San Ramon, CA 94583
Phone (925) 725-1745

Interoperability endpoints

  • Direct secure messaging: kyandell@opticalillusions.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1871071589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 SANTANA ROW STE 1115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282058",
            "telephone_number": "408-502-5020",
            "fax_number": "408-389-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SANTANA ROW STE 1115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282058",
            "telephone_number": "408-502-5020",
            "fax_number": "408-389-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Bollinger Canyon Rd Ste 1104",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945832305",
            "country_code": "US",
            "telephone_number": "925-725-1745",
            "fax_number": "925-725-7922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Hillsdale Shopping Center",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944033409",
            "country_code": "US",
            "telephone_number": "650-341-8080",
            "fax_number": "650-341-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9309 Glacier Hwy Ste A103",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998019300",
            "country_code": "US",
            "telephone_number": "907-789-3175",
            "fax_number": "844-903-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANDELL",
        "first_name": "KATALINA",
        "middle_name": "ASHE ROWLAND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34040TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.