Individual provider Active NPI

Wesley Masura Kobayashi, DPM

  • Podiatrist
  • Huntington Beach, CA
National Provider Identifier
1487751251
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3324 Issued in CA
Practice address
18800 Main St
Ste. 104
Huntington Beach, CA 92648-1707
Phone
(714) 841-1963
Fax
(714) 841-6919
NPI assigned
Sep 20, 2006
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3324 CA Primary

Addresses

Primary practice location

18800 Main St
Ste. 104
Huntington Beach, CA 92648-1707

Mailing address

18800 Main St
Ste. 104
Huntington Beach, CA 92648-1707
Phone (714) 841-1963

Other identifiers 1

IdentifierTypeStateIssuer
000E33240OtherCABLUE SHIELD OF CAL. ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000777 CA Practitioner - Podiatry 2466653779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley M Kobayashi DPM IncorporatedGroup PAC ID 1557562865, 3 clinicians
Surf City PodiatryGroup PAC ID 4688158793, 3 clinicians

Practice addresses (Care Compare)

18800 Main St
Suite 104
Huntington Beach, CA 92648-1717
Phone (714) 841-1963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue233
Removal of skin lesions27
Removal of nail tissue1826
Removal or shaving of skin growth1055
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley M Kobayashi DPM Incorporated Podiatrist CurrentSince Sep 9, 2005 Accepting new patients
Lawrence Kaminsky D.P.M. Past Accepting new patients
Surf City Podiatry Podiatrist Past Accepting new patients

Locations

18800 Main St
Ste 104
Huntington Beach, CA 92648
Phone (714) 841-1963

24310 Moulton Pkwy
Ste A
Laguna Woods, CA 92637
Phone (949) 855-4414

3771 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 430-1084

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1487751251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE. 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE. 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAYASHI",
        "first_name": "WESLEY",
        "middle_name": "MASURA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CAL. ID",
            "identifier": "000E33240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.