Kazuhiro Kato, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49905 Issued in CA

Practice address

3707 Convoy St.
San Diego, CA 92111

Phone

(858) 565-1679

Fax

(858) 565-1863

NPI assigned

Aug 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194240085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113754",
            "telephone_number": "858-565-1679",
            "fax_number": "858-565-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 CONVOY ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-565-1679",
            "fax_number": "858-565-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATO",
        "first_name": "KAZUHIRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1871798843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Johnson
• David Jonathan Katibian, MD
• Sarah Joelle Katje
• William Michael Katkov, LCSW
• Richard Dale Katnik, D.D.S.
• Diya Prashant Katre
• Katrina E Woodhall, MD and Associates, a Professional Medical
• Svetlana Katsev, M.D.
• Theodoros Fotiou Katsivas, MD
• Mark Samuel Katsma, DO

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.