Active NPI
John Larcabal OD
- Optometrist
- Norwalk, CA
National Provider Identifier
1982811600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9029T
- Legal business name
- JOHN LARCABAL OD
- Practice address
- 12029 Firestone Blvd
Norwalk, CA 90650-2908 - Phone
- (562) 868-8233
- Fax
- (562) 868-8283
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Larcabal, O.D.
- Title
- Owner
- Phone
- (562) 868-8233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9029T | CA | Primary |
Addresses
Primary practice location
12029 Firestone Blvd
Norwalk, CA 90650-2908
Mailing address
12029 Firestone Blvd
Norwalk, CA 90650-2908
Phone (562) 868-8233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0090290 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12029 Firestone Blvd
Norwalk, CA 90650
Phone (310) 868-8233
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Norwalk, CA
- NPI 1639172273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982811600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12029 FIRESTONE BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502908",
"telephone_number": "562-868-8233",
"fax_number": "562-868-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12029 FIRESTONE BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502908",
"telephone_number": "562-868-8233",
"fax_number": "562-868-8283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN LARCABAL OD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LARCABAL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-868-8233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9029T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0090290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.