Individual provider Active NPI

B. Maya Kato, M.D.

  • Otolaryngology Physician
  • Palm Desert, CA
National Provider Identifier
1003991761
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G86538 Issued in CA
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

Updated by the provider on Mar 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G865380MedicaidCA
CO622YOtherPTAN

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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services Past Accepting new patients
Michael R. Gatto MD, Inc. Otolaryngology PastSince Aug 1, 2007 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation Otolaryngology PastSince Jul 1, 2016 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.

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

Verify at the official NPI Registry.