DR. MICHAEL SOTA JITOSHO (OD) – Optometrist, NPI 1740767201

DR. MICHAEL SOTA JITOSHO (OD) is a healthcare provider. based in Costa mesa, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 34014 (CA). The NPI Number for DR. MICHAEL SOTA JITOSHO (OD) is 1740767201

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL SOTA JITOSHO (OD)
NPI
1740767201
Phone
(949) 574-0200
Address
1696 Newport Blvd
Enumeration Date
26 July 2018
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5302232500
Graduation Year
2018 (8 years ago)
PAC ID
0840538617
Group Practice PAC ID
6002817590
Professional Enrollment ID
I20190222000355
Address ID
CA960022122RE3190XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. MICHAEL SOTA JITOSHO (OD)

  • 1696 Newport Blvd

    Costa Mesa, CA 926273787

    Phone: (949) 574-0200

    Type: Location

  • 8582, Boone Circle, Westminster, Orange County, California, 92683, United States

    WESTMINSTER, CA 926837232

    Phone:

    Type: Mailing

  • 3612, East Chapman Avenue, Orange, Orange County, California, 92869, United States

    ORANGE, CA 928693847

    Phone: (714) 769-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190222000355IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system662655$0
92250Photography of the retina341337$0
92012Established patient problem focused exam of visual system286226$0
92004New patient complete exam of visual system211211$0
92134Imaging of retina184183$0
View full utilization report →

Insurance plans in this area (ZIP 92627)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002817590View full group profile
NameSpecialtyState
O P H T H A L M O L O G YSC
-CA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YCA
-OK
-CA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

Does DR. MICHAEL SOTA JITOSHO (OD) have a public NPI I can cite?
Public records show DR. MICHAEL SOTA JITOSHO (OD) under NPI 1740767201.
Quick check: is DR. MICHAEL SOTA JITOSHO (OD) active?
Public NPPES data shows DR. MICHAEL SOTA JITOSHO (OD) with an active NPI status right now.
Which specialty label fits DR. MICHAEL SOTA JITOSHO (OD)?
NPPES ties DR. MICHAEL SOTA JITOSHO (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICHAEL SOTA JITOSHO (OD)?
DR. MICHAEL SOTA JITOSHO (OD) shows a connection to Costa Mesa, California in registry-derived data.
Who maintains DR. MICHAEL SOTA JITOSHO (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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