Provider Demographics
NPI:1699734715
Name:SAKIHARA, CINDY YUMI (OD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:YUMI
Last Name:SAKIHARA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39355 CALIFORNIA ST
Mailing Address - Street 2:STE 103
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1447
Mailing Address - Country:US
Mailing Address - Phone:510-744-2010
Mailing Address - Fax:510-744-2015
Practice Address - Street 1:39355 CALIFORNIA ST
Practice Address - Street 2:STE 103
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1447
Practice Address - Country:US
Practice Address - Phone:510-744-2010
Practice Address - Fax:510-744-2015
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10090T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0022890Medicaid
CASD0100900Medicare PIN
CAZZZ15747ZMedicare ID - Type Unspecified
U92305Medicare UPIN