Organization Active NPI

Kendric R. Kajikawa, O.D. Inc

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1326210261
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6473T Issued in CA
Legal business name
KENDRIC R. KAJIKAWA, O.D. INC
Practice address
145 E Duarte Rd Ste D
Arcadia, CA 91006-6691
Phone
(626) 446-5235
Fax
(626) 446-5255
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Kendric R. Kajikawa
Title
Owner/ Optometrist
Phone
(626) 446-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6473T CA Primary

Addresses

Primary practice location

145 E Duarte Rd Ste D
Arcadia, CA 91006-6691

Mailing address

145 E Duarte Rd Ste D
Arcadia, CA 91006-6691
Phone (626) 446-5235

Other identifiers 1

IdentifierTypeStateIssuer
6473TOtherOTOMETRY LICENSE

National Provider Directory

National Provider Directory

Locations

100 E Huntington Dr
Ste 102
Alhambra, CA 91801
Phone (626) 281-1399

145 E Duarte Rd
Ste D
Arcadia, CA 91006
Phone (626) 317-5052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1326210261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E DUARTE RD STE D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066691",
            "telephone_number": "626-446-5235",
            "fax_number": "626-446-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E DUARTE RD STE D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066691",
            "telephone_number": "626-446-5235",
            "fax_number": "626-446-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRIC R. KAJIKAWA, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "KAJIKAWA",
        "authorized_official_first_name": "KENDRIC",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "626-446-5235"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6473T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTOMETRY LICENSE",
            "identifier": "6473T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.