Active NPI
Michael Mayeda, O.D.
- Optometrist
- Torrance, CA
National Provider Identifier
1972597250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8541T
- Practice address
- 17430 Crenshaw Blvd
Suite B
Torrance, CA 90504-3400 - Phone
- (310) 532-8900
- Fax
- (310) 532-4079
- NPI assigned
- Sep 1, 2005
- 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 | 8541T | CA | Primary |
Addresses
Primary practice location
17430 Crenshaw Blvd
Suite B
Torrance, CA 90504-3400
Mailing address
6102 Warwood Rd
Lakewood, CA 90713-3137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8541 | 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, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17430 Crenshaw Blvd
Suite B
Torrance, CA 90504-3400
17430 Crenshaw Blvd B
Torrance, CA 90504-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8541T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Torrance Optometry | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Torrance, CA
- NPI 1871587972
-
- Optometrist
- Torrance, CA
- NPI 1851645758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1972597250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6102 WARWOOD RD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907133137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17430 CRENSHAW BLVD",
"address_2": "SUITE B",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043400",
"telephone_number": "310-532-8900",
"fax_number": "310-532-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYEDA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8541T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8541",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.