Individual provider Active NPI

William S Kurohara, M.D.

  • Radiation Oncology Physician
  • Whittier, CA
National Provider Identifier
1073665618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G62716 Issued in CA
Practice address
12393 Washington Blvd
Whittier, CA 90606-2502
Phone
(562) 696-5964
Fax
(562) 693-5940
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G62716 CA Primary

Addresses

Primary practice location

12393 Washington Blvd
Whittier, CA 90606-2502

Mailing address

12393 Washington Blvd
Whittier, CA 90606-2502
Phone (562) 696-5964

Other identifiers 2

IdentifierTypeStateIssuer
00G627160MedicaidCA
ZZZ72741ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000225 CA Practitioner - Radiation Oncology 0244483774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whittier Oncology Medical Clinic IncGroup PAC ID 5991958415, 4 clinicians

Practice addresses (Care Compare)

12393 Washington Blvd
Whittier, CA 90606-2502
Phone (562) 696-5964

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62716CAMDDentist
G62716CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier Oncology Medical Clinic, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

12393 Washington Blvd
Whittier, CA 90606
Phone (562) 696-5964

111 Loder St
#B
Hornell, NY 14843

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073665618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12393 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-696-5964",
            "fax_number": "562-693-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-696-5964",
            "fax_number": "562-693-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROHARA",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G62716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G627160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ72741Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.