Joseph K. Kikumoto, O.D., an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

COR 1173 Issued in CA

Legal business name

JOSEPH K. KIKUMOTO, O.D., AN OPTOMETRIC CORPORATION

Practice address

31401 Rancho Viejo Rd
Suite 103
San Juan Capistrano, CA 92675-1851

Phone

(949) 443-3794

Fax

(949) 443-3828

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Keith Kikumoto, O.D.

Title

President

Phone

(949) 443-3794

Specialties & licenses 1

Addresses

Other names 1

• Doheny Optometric Group Former legal business name

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1154428712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751851",
            "telephone_number": "949-443-3794",
            "fax_number": "949-443-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31401 RANCHO VIEJO RD",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751851",
            "telephone_number": "949-443-3794",
            "fax_number": "949-443-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K. KIKUMOTO, O.D., AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KIKUMOTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-443-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doheny Optometric Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kendall Noel Jones, PTA
• Kristin Marie Jones, PHN
• Deanna Jordan
• Joseph G. Heinrich, O.D., a.P.C.
• Joseph K. Kikumoto, O.D.
• JRV Recovery,Inc.
• K. Mitchell Naficy MD Inc
• Kelly Kaban, DDS
• Lawrence Kaban, D.D.S.
• Kaiser Foundation Health Plan Inc

• Optometrist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.