Organization Active NPI

Satoshi Kamada MD Inc

  • Specialist
  • Irvine, CA
National Provider Identifier
1396862488
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G59920 Issued in CA
Legal business name
SATOSHI KAMADA MD INC
Practice address
15775 Laguna Canyon Rd
280
Irvine, CA 92618-3191
Phone
(949) 453-1201
Fax
(949) 727-2050
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Satoshi Kamada, M.D.NPI 1073630521
Title
President
Phone
(949) 453-1201

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G59920 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd
280
Irvine, CA 92618-3191

Mailing address

15775 Laguna Canyon Rd
280
Irvine, CA 92618-3191
Phone (949) 453-1201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000422 CA Part B Supplier - Clinic/Group Practice 8628259116 Receives reassigned benefits from 1 practitioner
Practice locations: Brea, CA; Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2009180Satoshi Kamada MD Inc15775 Laguna Canyon Rd #280, Irvine, CA 92618Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

15775 Laguna Canyon Rd
Ste 280
Irvine, CA 92618
Phone (949) 252-8822

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1396862488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "280",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183191",
            "telephone_number": "949-453-1201",
            "fax_number": "949-727-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "280",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183191",
            "telephone_number": "949-453-1201",
            "fax_number": "949-727-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATOSHI KAMADA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "KAMADA",
        "authorized_official_first_name": "SATOSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-453-1201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G59920",
            "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 Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.