Individual provider Active NPI

Yaffa Pia Kizel, OD

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1922998772
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36044 Issued in CA
Practice address
1101 Pacific Ave Ste E
Santa Cruz, CA 95060-7506
Phone
(831) 466-3937
Fax
(831) 466-3421
NPI assigned
Jul 3, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 36044 CA Primary

Addresses

Primary practice location

1101 Pacific Ave Ste E
Santa Cruz, CA 95060-7506

Mailing address

1101 Pacific Ave Ste E
Santa Cruz, CA 95060-7506
Phone (831) 466-3937

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814000814 CA Practitioner - Optometry 4880193283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krok and Shen Optometrists IncGroup PAC ID 5496030686, 7 clinicians

Practice addresses (Care Compare)

1101 Pacific Ave
Suite E
Santa Cruz, CA 95060-7506
Phone (831) 466-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36044CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Krok and Shen Optometrists Inc Optometrist CurrentSince Jul 13, 2025 Accepting new patients

Locations

1101 Pacific Ave
Ste E
Santa Cruz, CA 95060
Phone (831) 466-3937

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, 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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1922998772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE STE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607506",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE STE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607506",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZEL",
        "first_name": "YAFFA",
        "middle_name": "PIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.