Individual provider Active NPI

Kasey Nicole Nakajima, OD

  • Optometrist
  • Monterey, CA
National Provider Identifier
1992169049
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34096TLG Issued in CA
Practice address
21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858
Phone
(831) 372-1500
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34096TLG CA Primary

Addresses

Primary practice location

21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858

Mailing address

1626 22ND Ave
Forest Grove, OR 97116-1612
Phone (831) 233-2077

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
I20190206001756 CA Practitioner - Optometry 4587902192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leland Rosenblum Medical CorporationGroup PAC ID 8022068675, 3 clinicians

Practice addresses (Care Compare)

21 Upper Ragsdale Dr
Monterey, CA 93940-7831
Phone (831) 372-1500

21 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-7858

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as group
Quality
94.59
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34096TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leland Rosenblum Medical Corporation CurrentSince Dec 8, 2018 Accepting new patients

Locations

21 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 372-1500

21 Upper Ragsdale Dr
Ste 200
Monterey, CA 93940
Phone (831) 372-1500

Interoperability endpoints

  • Direct secure messaging: knakajima@directaddress.net

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1992169049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 22ND AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161612",
            "telephone_number": "831-233-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407858",
            "telephone_number": "831-372-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAJIMA",
        "first_name": "KASEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34096TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.