Active NPI
Kristine Michi Kobayashi, O.D.
- Optometrist
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9444
- Practice address
- 11245 Washington Blvd
Whittier, CA 90606-3111 - Phone
- (562) 692-1208
- Fax
- (626) 856-0570
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 9444 | CA | Primary |
Addresses
Primary practice location
11245 Washington Blvd
Whittier, CA 90606-3111
Mailing address
4266 Lincoln Blvd
Marina del Rey, CA 90292-5618
Phone (310) 823-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0094440 | Medicaid | CA |
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
- Southern California College of Optometry, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11245 Washington Blvd
Whittier, CA 90606-3111
Phone (562) 692-1208
32932 Pacific Coast Hwy
Suite 13
Dana Point, CA 92629-3467
Phone (949) 487-3937
4266 Lincoln Blvd
Marina del Rey, CA 90292-5618
Phone (310) 823-4595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9444 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Ardaya & Lin Optometry Inc | Optometrist | Current | Accepting new patients |
| Monarch Bay Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Kobayashi Optometric Inc | Optometrist | Current | Accepting new patients |
| Dr. Irene M. Lin-Dilorinzo, O.D., Inc. | Optometrist | Current | Accepting new patients |
| Sheldon M. Golden OD Optometric Corporation | Optometrist | Past | Accepting new patients |
Locations
32932 Pacific Coast Hwy
Ste 13
Dana Point, CA 92629
Phone (949) 487-3937
4266 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 823-4595
13161 Mindanao Way
#D-6
Marina del Rey, CA 90292
Phone (310) 823-4595
1026 W West Covina Pkwy
Ste B
West Covina, CA 91790
Phone (626) 593-4234
11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kristine.kobayashi@uprisedirect.com
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
- Marina del Rey, CA
- NPI 1184900037
-
- Optometrist
- Whittier, CA
- NPI 1962764340
-
- Optometrist
- Dana Point, CA
- NPI 1710538343
-
- Optometrist
- Dana Point, CA
- NPI 1396193629
-
- Optometrist
- Whittier, CA
- NPI 1326089764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1922095439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4266 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925618",
"telephone_number": "310-823-4595",
"fax_number": "310-823-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11245 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906063111",
"telephone_number": "562-692-1208",
"fax_number": "626-856-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBAYASHI",
"first_name": "KRISTINE",
"middle_name": "MICHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0094440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.