Individual provider Active NPI

Kenneth M. Tokita, M.D.

  • Radiation Oncology Physician
  • Irvine, CA
National Provider Identifier
1447432653
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G18258 Issued in CA
Practice address
16100 Sand Canyon Ave
Ste 130
Irvine, CA 92618-3722
Phone
(949) 417-1100
Fax
(949) 417-1165
NPI assigned
Nov 29, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 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
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
I20110627000757 CA Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 1759460728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Radiation Oncology
Education
University of Washington School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kenneth M Tokita MD IncGroup PAC ID 0941389910, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G18258CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center Imaging Inc. CurrentSince Apr 25, 2011 Accepting new patients
Kenneth M Tokita MD Inc CurrentSince Jan 1, 2008 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 100
Irvine, CA 92618
Phone (949) 417-1100

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

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1447432653",
    "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": {
        "last_name": "TOKITA",
        "first_name": "KENNETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G18258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.