Active NPI
Fred Kazuhiro Kurata, MD
- Specialist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G49917
- Practice address
- 420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645 - Phone
- (213) 680-1551
- Fax
- (213) 680-2148
- NPI assigned
- Nov 9, 2006
- Last updated
- Oct 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G49917 | CA | Primary |
Addresses
Primary practice location
420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Mailing address
420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Phone (213) 680-1551
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078582 | Medicaid | CA | |
| GR0078583 | Medicaid | CA | |
| GR0078581 | Medicaid | CA | |
| GR0078580 | Medicaid | CA | |
| 00G499170 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49917 | CA | MD | Specialist |
| 49917 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East-West Eye Institute a Medical Corporation | Current | Accepting new patients | |
| East-West Eye Institute a Medical Corporation | Current | Accepting new patients | |
| Terraces Surgery Center LLC | Current | Accepting new patients | |
| Third Street Surgery Center LLC | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients |
Locations
75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 554-4688
1300 W 155th St
Ste 104
Gardena, CA 90247
Phone (310) 329-9975
420 E 3rd St
Ste 603
Los Angeles, CA 90013
Phone (213) 625-2694
50 Alessandro Pl
Ste 150
Pasadena, CA 91105
Phone (626) 577-5437
23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1285810994
-
dba East-West Eye Institute, Inc
- Ophthalmology Physician
- Torrance, CA
- NPI 1467928747
-
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
- NPI 1821497686
-
dba Memorial Hospital of Gardena Pharmacy
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
- NPI 1144370594
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1205906740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 3RD ST",
"address_2": "STE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131645",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD ST",
"address_2": "STE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131645",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURATA",
"first_name": "FRED",
"middle_name": "KAZUHIRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G49917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078582",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078583",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078581",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078580",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G499170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.