Active NPI
Bryce Torao Kato, DDS
- General Practice Dentistry
- San Gabriel, CA
National Provider Identifier
1184280083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105358
- Practice address
- 1295 E Las Tunas Dr
San Gabriel, CA 91776-1703 - Phone
- (562) 544-1163
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 105358 | CA | Primary |
Addresses
Primary practice location
1295 E Las Tunas Dr
San Gabriel, CA 91776-1703
Mailing address
17567 Candela Dr
Rowland Heights, CA 91748-4102
Phone (562) 544-1163
Other practice location 1
11201 Benton St
Loma Linda, CA 92357-1000
Phone (909) 825-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105358 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1184280083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17567 CANDELA DR",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484102",
"telephone_number": "562-544-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 E LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761703",
"telephone_number": "562-544-1163"
}
],
"practiceLocations": [
{
"address_1": "11201 Benton St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923571000",
"country_code": "US",
"telephone_number": "909-825-7084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATO",
"first_name": "BRYCE",
"middle_name": "TORAO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-15",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.