Lindon Ken Kawahara, M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

G60421 Issued in CA

Practice address

22410 Hawthorne Blvd
Suite 3
Torrance, CA 90505-2539

Phone

(310) 373-2238

NPI assigned

Sep 14, 2006

Last updated

Aug 23, 2010By 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

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 May 6, 2013 through May 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lindon Ken Kawahara MD DMD

  dba Torrance Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1104922772
  NPD (past) Authorized official
• Kyle Yamamoto, DDS, MD, Ms, Inc

  dba Torrance Surgicenter

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
  • NPI 1962194084
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1053417626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22410 HAWTHORNE BLVD",
            "address_2": "SUITE 3",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052539",
            "telephone_number": "310-373-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22410 HAWTHORNE BLVD",
            "address_2": "SUITE 3",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052539",
            "telephone_number": "310-373-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAHARA",
        "first_name": "LINDON",
        "middle_name": "KEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "G60421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasa Patna Kavasery, M.D., M.P.H.
• Kyle Bahman Kaveh
• Amir Kaviani, M.D.
• Stavros Kavoulakis, BCBA
• Devon Misano Kawada
• Lisa Kawasaki
• Katie Haruka Kawashiri
• Teresa Kawasjee
• Serina Kawazoe
• Meghan Hovey Kawecki

• Oral & Maxillofacial Surgery (D.M.D.) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.

Verify at the official NPI Registry.