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Active NPI 1114658267 Individual Practitioner Female Practitioner

Dr. Pratima Gautam , OD

Optometrist • Oxnard, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pratima Gautam, OD is a certified Optometrist practicing in Oxnard, CA. With approximately 4 years of clinical experience since graduating from New England College Of Optometry in 2022, Dr. Gautam delivers high-quality medical care to the local community at 801 COOPER RD.

Dr. Gautam is affiliated with Clinicas Del Camino Real Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Cooper Rd

Oxnard, CA 930305445

Telephone 8053308100
Fax 8052407383
Associated Practice Facility / Clinic
🏢 Mazdeyasnan Pharmaceutical Facility NPI 1902950348

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Oxnard, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -17.6 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
32 Specialists

Practicing in Oxnard, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gautam (4 Years) 4 Yrs
Oxnard Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
17 16 $301.74 $92.81

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA OPT35439

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CA TLG35439

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Clinicas Del Camino Real Inc

200 S Wells Rd, Ventura, CA 930041302

Clinicas Del Camino Real Inc

801 Cooper Rd, Oxnard, CA 930305445

Phone: 8053308100

Secondary Practice Locations

1300 N Vermont Ave Ste 101

Los Angeles, CA 900276098

Phone: 3239066048

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Steven Piper , PA

Physician Assistant

NPI 1063178739

Physician Assistant

Brianna Jones

Family Medicine

NPI 1063807543
NPI 1134007560
Maria Soto , AMFT

Marriage & Family Therapist

NPI 1215366554

Associate Marriage and Family Therapist

Emily Ewing , FNP

Nurse Practitioner - Family

NPI 1386388858

Family Nurse Practitioner

Michelle Dore , FNP-C

Nurse Practitioner - Family

NPI 1417821547

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 17, 2025

Registered at 801 COOPER RD, OXNARD, CA 930305445 (Tel: 8053308100)

📍
Updated Business Mailing Address April 17, 2025

Registered at 1040 FLYNN RD, CAMARILLO, CA 930125092 (Tel: 8056733930)

📍
Updated Practice Location July 31, 2023

Registered at 1300 N VERMONT AVE STE 101, LOS ANGELES, CA 900276098 (Tel: 3239066048)

📍
Updated Business Mailing Address July 31, 2023

Registered at 1300 N VERMONT AVE STE 101, LOS ANGELES, CA 900276098 (Tel: 3239066048)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Optometrist (License #TLG35439 in CA)

NPI Profile Active June 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2022

Registered at 940 BELMONT ST, BROCKTON, MA 023015596 (Tel: 5085834500)

📍
Updated Business Mailing Address June 20, 2022

Registered at 220 WHEELER ST, CLIFFSIDE PARK, NJ 070101114 (Tel: 2012450700)

👤
Provider Name / Credentials Updated June 20, 2022

Recorded as PRATIMA GAUTAM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Optometrist (License #00000000 in MA)

🟢
Initial NPI Registration & Enumeration June 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114658267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2022
Last Update: April 17, 2025
Sole Proprietor: No

Mailing Address

1040 Flynn Rd

Camarillo, CA 930125092

Phone: 8056733930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.