ISHIGO OPTOMETRY, INC. (NPI# 1518431436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518431436 |
| Entity Type | Organization |
| Organization Name | ISHIGO OPTOMETRY, INC. |
| Practice Address |
1425 W Artesia Blvd Ste 32 Gardena CA 90248-3230 |
| Practice Telephone | 3107691642 |
| Practice Fax Number | 3107691398 |
| Mailing Telephone | 3107691642 |
| Mailing Fax Number | 3107691398 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | DR. AMY H. ISHIGO (PRESIDENT) |
| Authorized Official Telephone | 8183593042 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ishigo Optometry | Doing Business As Name - Organization |
| Street Address |
1425 W ARTESIA BLVD STE 32 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962955567 | Amy H. Ishigo | Optometrist | 1425 W Artesia Blvd Ste 32, Gardena, CA 90248-3230 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1023362290 | Relax Urself Day Spa | Clinic/Center | 13608 Daphne Ave, Gardena, CA 90249-2353 | 2012-11-09 |
| 1104393354 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 16630 S Broadway, Gardena, CA 90248-2716 | 2018-10-25 |
| 1912473307 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1149 W 190th St, Gardena, CA 90248-4321 | 2018-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.