Individual provider Active NPI

Noemi Delagarza Larragoiti, OD

  • Optometrist
  • Cypress, CA
National Provider Identifier
1982614038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10055T Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0100551MedicaidCA

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
I20080116000853 CA Practitioner - Optometry 2961583851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10055TCAMDOptometrist
10055CAMDAcupuncturist
869AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pooja Naik O D Inc Optometrist CurrentSince Jan 31, 2024 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

Verify at the official NPI Registry.