Provider Demographics
NPI:1417008731
Name:SAKIHARA, DAVID TOSHIO (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TOSHIO
Last Name:SAKIHARA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 NEWPORT CENTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6918
Mailing Address - Country:US
Mailing Address - Phone:714-718-1431
Mailing Address - Fax:714-718-1432
Practice Address - Street 1:1601 W VERDUGO AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2101
Practice Address - Country:US
Practice Address - Phone:818-843-1141
Practice Address - Fax:818-843-1953
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10917T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOP10917Medicare ID - Type Unspecified
CAU69059Medicare UPIN