Active NPI
B. Maya Kato, M.D.
- Otolaryngology Physician
- Palm Desert, CA
National Provider Identifier
1003991761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G86538
- Practice address
- 36867 Cook St
Suite 103
Palm Desert, CA 92211-6064 - Phone
- (760) 565-3900
- Fax
- (855) 505-3900
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G86538 | CA | Primary |
Addresses
Primary practice location
36867 Cook St
Suite 103
Palm Desert, CA 92211-6064
Mailing address
36867 Cook St
Suite 103
Palm Desert, CA 92211-6064
Phone (760) 565-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G865380 | Medicaid | CA | |
| CO622Y | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 11, 2022 through Apr 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Michael R. Gatto MD, Inc. | Otolaryngology | Past | Accepting new patients |
| Geoffrey Trenkle DO a Professional Medical Corporation | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1992124978
-
- Otolaryngology Physician
- Palm Springs, CA
- NPI 1811991847
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1003991761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36867 COOK ST",
"address_2": "SUITE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116064",
"telephone_number": "760-565-3900",
"fax_number": "855-505-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36867 COOK ST",
"address_2": "SUITE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116064",
"telephone_number": "760-565-3900",
"fax_number": "855-505-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATO",
"first_name": "B.",
"middle_name": "MAYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G86538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G865380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CO622Y",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.