Kenzo Sean Otsuji, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14279 Issued in CA

Practice address

13313 Telegraph Rd
Whittier, CA 90605-3228

Phone

(562) 946-1957

Fax

(562) 941-6155

NPI assigned

Aug 23, 2011

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronalie Baldovino, OD

  • Optometrist
  • Long Beach, CA
  • NPI 1184320335
  Medicare reassignment
• Kiet Long Huynh, O.D.

  • Optometrist
  • Granada Hills, CA
  • NPI 1144654047
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenzo Otsuji Optometric Corp

  • Optometrist
  • Gardena, CA
  • NPI 1629752969
  Medicare reassignment NPD Authorized official
• Michael Kobayashi, OD Professional Corporation

  • Optometrist
  • Gardena, CA
  • NPI 1114581881
  NPD (past)
• Sam M Otsuji

  • Optometrist
  • Whittier, CA
  • NPI 1467738112
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1013297944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALLE MIRAMAR",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776732",
            "telephone_number": "310-373-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053228",
            "telephone_number": "562-946-1957",
            "fax_number": "562-941-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTSUJI",
        "first_name": "KENZO",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Osegueda Cuevas
• Veronica Oseguera
• Marwa Osman-Ahmed, SLP-CCC
• Andrew Roger Ossa, RDN
• Edison Lorilla Otadoy, BA
• Sam M Otsuji, O.D.
• Diana Adanna Otuwa, MD
• Zareh John Ounjian, MD
• Dakiesha Denise Owens
• Emilia Pacheco

• Optometrist in Whittier, CA
• Providers in Whittier, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.