Individual provider Active NPI

Elton Sadao Katagihara, M.D.

  • Pulmonary Disease Physician
  • Arcadia, CA
National Provider Identifier
1275509135
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G70694 Issued in CA
Practice address
301 W Huntington Dr
Suite 607
Arcadia, CA 91007-3462
Phone
(626) 445-4558
Fax
(626) 446-5807
NPI assigned
Feb 28, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G70694 CA Primary

Addresses

Primary practice location

301 W Huntington Dr
Suite 607
Arcadia, CA 91007-3462

Mailing address

301 W Huntington Dr
Suite 607
Arcadia, CA 91007-3462
Phone (626) 445-4558

Other identifiers 1

IdentifierTypeStateIssuer
00G706940MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000907 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7719949676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

959 E Walnut St
Suite 120
Pasadena, CA 91106-5364
Phone (626) 795-5118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G70694CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Pulmonary & Critical Care Consultants Medical Group Inc. Pulmonary Disease CurrentSince Dec 15, 1998 Accepting new patients

Locations

959 E Walnut St
Ste 120
Pasadena, CA 91106
Phone (626) 795-1831

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1275509135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 607",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-445-4558",
            "fax_number": "626-795-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 607",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-445-4558",
            "fax_number": "626-446-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAGIHARA",
        "first_name": "ELTON",
        "middle_name": "SADAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G70694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.