Kyle Katayama, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA67403 Issued in CA

Practice address

1045 Atlantic Ave Ste 505
Long Beach, CA 90813-3422

Phone

(323) 306-9632

Fax

(323) 268-6738

NPI assigned

Jan 8, 2024

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geoffrey Trenkle DO a Professional Medical CorporationGroup PAC ID 1759607310, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Geoffrey Trenkle DO a Professional Medical Corporation

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1992124978
  Medicare reassignment Care Compare group NPD
• Citrus Valley Medical Associates, Inc.

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  NPD (past)
• Employee Medical Consultants PC

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1558099325
  NPD (past)
• Michael R. Gatto MD, Inc.

  • Otolaryngology Physician
  • Palm Springs, CA
  • NPI 1811991847
  NPD (past)
• Samir a Shah MD Professional Corporation

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1700197365
  NPD (past)

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1194595538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506670",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 505",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133422",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAYAMA",
        "first_name": "KYLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kassabian, M.D.
• Amber Lynn Kadolph Kasten, AUD
• Julie Kastigar
• Markus Kasunich
• Manjula Katakia
• Katherine M. Tanaka, M.D., Inc.
• Kathleen Gay Bogner in Home Therapy Connections
• Nelda Bliss Katibian, MSW
• Katie Y Jang Optometry Professional Corporation
• Sabrina Katigbak, NP

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.