Active NPI
Sean Yamamoto
- Optometrist
- Ontario, CA
National Provider Identifier
1871560698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11326T
- Practice address
- 417 N Euclid Ave
Ontario, CA 91762-3427 - Phone
- (909) 986-9951
- Fax
- (909) 986-9812
- NPI assigned
- Mar 1, 2006
- 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 | 11326T | CA | Primary |
Addresses
Primary practice location
417 N Euclid Ave
Ontario, CA 91762-3427
Mailing address
417 N Euclid Ave
Ontario, CA 91762-3427
Phone (909) 986-9951
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2480 | Other | CA | DAVIS VISION PIN |
| SD0113260 | Medicaid | CA | |
| 9V14089 | Other | CA | INDIVIDUAL IEHP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11326T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey H Yamamoto, OD, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Ontario, CA
- NPI 1447227384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1871560698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623427",
"telephone_number": "909-986-9951",
"fax_number": "909-986-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623427",
"telephone_number": "909-986-9951",
"fax_number": "909-986-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "SEAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11326T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION PIN",
"identifier": "2480",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0113260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL IEHP PIN",
"identifier": "9V14089",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.