Organization Active NPI

Robert Scott Kapust OD Inc

  • Optometrist
  • Hermosa Beach, CA
National Provider Identifier
1467447243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA6261T Issued in CA
Legal business name
ROBERT SCOTT KAPUST OD INC
Practice address
703 Pier Ave
Hermosa Beach, CA 90254-3943
Phone
(310) 374-9899
Fax
(310) 376-1195
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Scott Kapust, BA BS OD
Title
President
Phone
(310) 374-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA6261T CA Primary

Addresses

Primary practice location

703 Pier Ave
Hermosa Beach, CA 90254-3943

Mailing address

703 Pier Ave
Hermosa Beach, CA 90254-3943
Phone (310) 374-9899

National Provider Directory

National Provider Directory

Locations

703 Pier Ave
Hermosa Beach, CA 90254
Phone (310) 374-9899

Practitioners & affiliated clinicians

Practitioners 3

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467447243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543943",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543943",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SCOTT KAPUST OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPUST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-374-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA BS OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA6261T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.