Active NPI
Tomoe Kuwata
- General Practice Dentistry
- Redondo Beach, CA
National Provider Identifier
1245016237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109009
- Practice address
- 409 N Pacific Coast Hwy Ste 210
Redondo Beach, CA 90277-2873 - Phone
- (310) 937-8070
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109009 | CA | Primary |
Addresses
Primary practice location
409 N Pacific Coast Hwy Ste 210
Redondo Beach, CA 90277-2873
Mailing address
1110 S Catalina Ave Apt 112
Redondo Beach, CA 90277-4930
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827001880 | CA | Order and Referring Only - Dentist | 8729420666 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109009 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1245016237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 S CATALINA AVE APT 112",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N PACIFIC COAST HWY STE 210",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772873",
"telephone_number": "310-937-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUWATA",
"first_name": "TOMOE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
- Lindsay Anne Kuehl, DMD
- Kim T Kuei, PHARM D.
- Deeya Paresh Kumar, DO
- Helen FH Kuo, D.P.M.
- Samah Shahzya Kureshi, WHNP
- Anahid Javanfar Kwiatkouski, D.O.
- Jessica May Kwong, PT, DPT
- La Beach Cities Surgical Group
- Jaime Michelle La Charite, M.D., M.P.H.
- La Laser Center PC, a Professional Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.