Ken Ray Iwaoka, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48630 Issued in CA

Practice address

130 Cedar Rd
# 100
Vista, CA 92083-5102

Phone

(760) 806-5400

NPI assigned

Jul 26, 2006

Last updated

Apr 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: Emergency Medicine, Family Practice, General Surgery

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• HMTS, Inc

  dba Hoag Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1326828575

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  Medicare reassignment
• Dekro, a Medical Corporation, Inc

  • Specialist
  • Oceanside, CA
  • NPI 1366431959
  NPD (past)
• Hoag Hospital

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1689864365
  NPD (past)
• Scripps Health

  dba Scripps Medical Foundation

  • Family Medicine Physician
  • Vista, CA
  • NPI 1861477846
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1346263670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 SORRENTO VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211604",
            "telephone_number": "858-784-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CEDAR RD",
            "address_2": "# 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835102",
            "telephone_number": "760-806-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAOKA",
        "first_name": "KEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Chiropractic Group
• Interchange Physicians Network Inc.
• Cristina Maria Irwin
• Donna Lynn Irwin, LM544
• Rachel Marie Irwin
• J & Bee, an ABA Service Provider LLC
• J. Anderson DDS, Inc (Vista Smiles)
• Jennifer Anne Jablonski, MPT
• Robert C Jablonski, FAAOMPT
• Cynthia Monique Jackson, RDH

• Family Medicine Physician in Vista, CA
• Providers in Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.