NPIMap

Organization Active NPI

Dan K Sakamoto M D Medical Corp

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1225250103
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G23249 Issued in CA
Legal business name
DAN K SAKAMOTO M D MEDICAL CORP
Practice address
23609 Hawthorne Blvd Ste a
Torrance, CA 90505-6023
Phone
(310) 378-7474
Fax
(310) 378-5454
NPI assigned
May 2, 2007
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Pauline Setsuko Kawachi
Title
Office Manager
Phone
(310) 378-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G23249 CA Primary

Addresses

Primary practice location

23609 Hawthorne Blvd Ste a
Torrance, CA 90505-6023

Mailing address

23609 Hawthorne Blvd Ste a
Torrance, CA 90505-6023
Phone (310) 378-7474

Other names 2

  • Dan K. Sakamoto, M.D. Medical Corp Former legal business name
  • DAN K SAKAMOTO M D MEDICAL CORP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000310 CA Part B Supplier - Clinic/Group Practice 4385727494 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

23609 Hawthorne Blvd
Ste A
Torrance, CA 90505
Phone (310) 378-7474

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1225250103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23609 HAWTHORNE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056023",
            "telephone_number": "310-378-7474",
            "fax_number": "310-378-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23609 HAWTHORNE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056023",
            "telephone_number": "310-378-7474",
            "fax_number": "310-378-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN K SAKAMOTO M D MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "KAWACHI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "SETSUKO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-378-7474"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G23249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dan K. Sakamoto, M.D. Medical Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DAN K SAKAMOTO M D MEDICAL CORP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.