Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pratima Gautam, OD

Individual provider Optometrist · NPI 1114658267

Pratima Gautam, OD is an Optometry in Oxnard, California. Graduated from New England College of Optometry in 2022, 4 years ago. Practices with Clinicas Del Camino Real Inc, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
New England College of Optometry
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

801 Cooper Rd
Oxnard, CA 93030-5445
Phone: (805) 330-8100
Fax: (805) 240-7383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 N Vermont Ave Ste 101, Los Angeles, CA 90027-6098 — (323) 906-6048

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT35439 (CA)
Optometrist Taxonomy 152W00000X · Licence TLG35439 (CA)

Record details

NPI number1114658267
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address1040 Flynn Rd, Camarillo, CA 93012-5092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Clinicas Del Camino Real Inc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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