Active NPI
Noemi Delagarza Larragoiti, OD
- Optometrist
- Cypress, CA
National Provider Identifier
1982614038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10055T
- Practice address
- 10145 Valley View Street
Cypress, CA 90630-4602 - Phone
- (714) 229-1986
- Fax
- (714) 229-1994
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10055T | CA | Primary |
| Optometrist | 152W00000X | 869 | AZ |
Addresses
Primary practice location
10145 Valley View Street
Cypress, CA 90630-4602
Mailing address
10145 Valley View Street
Cypress, CA 90630-4602
Phone (714) 229-1986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0100551 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10055T | CA | MD | Optometrist |
| 10055 | CA | MD | Acupuncturist |
| 869 | AZ | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pooja Naik O D Inc | Optometrist | Current | Accepting new patients |
Locations
12777 Valley View St
Ste 111
Garden Grove, CA 92845
Phone (714) 229-1986
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982614038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10145 VALLEY VIEW STREET",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304602",
"telephone_number": "714-229-1986",
"fax_number": "714-229-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10145 VALLEY VIEW STREET",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304602",
"telephone_number": "714-229-1986",
"fax_number": "714-229-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRAGOITI",
"first_name": "NOEMI",
"middle_name": "DELAGARZA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10055T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "869",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0100551",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.