Organization Active NPI

Kenneth M Tokita MD Inc

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1386693224
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G18258 Issued in CA
Legal business name
KENNETH M TOKITA MD INC
Practice address
16100 Sand Canyon Ave
Ste 130
Irvine, CA 92618-3722
Phone
(949) 417-1100
Fax
(949) 417-1165
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Kenneth Masao Tokita, M.D.NPI 1447432653
Title
Medical Director
Phone
(949) 417-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G18258 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave
Ste 130
Irvine, CA 92618-3722

Mailing address

16100 Sand Canyon Ave
Ste 130
Irvine, CA 92618-3722
Phone (949) 417-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000330 CA Part B Supplier - Radiation Therapy Center 0941389910 Receives reassigned benefits from 5 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1386693224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-417-1100",
            "fax_number": "949-417-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-417-1100",
            "fax_number": "949-417-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M TOKITA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "TOKITA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MASAO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-417-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G18258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.