Sam M Otsuji, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5194T Issued in CA

Practice address

13313 Telegraph Rd
Whittier, CA 90605-3228

Phone

(562) 946-1957

Fax

(562) 941-6155

NPI assigned

Jan 30, 2006

Last updated

Sep 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sam M Otsuji

  • Optometrist
  • Whittier, CA
  • NPI 1467738112
  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1922079789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053228",
            "telephone_number": "562-946-1957",
            "fax_number": "562-941-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053228",
            "telephone_number": "562-946-1957",
            "fax_number": "562-941-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTSUJI",
        "first_name": "SAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5194T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0051940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Oseguera
• Marwa Osman-Ahmed, SLP-CCC
• Andrew Roger Ossa, RDN
• Edison Lorilla Otadoy, BA
• Kenzo Sean Otsuji, O.D.
• Diana Adanna Otuwa, MD
• Zareh John Ounjian, MD
• Dakiesha Denise Owens
• Emilia Pacheco
• Irene Ariel Pacheco

• Optometrist in Whittier, CA
• Providers in Whittier, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.