Active NPI
Steven K Kurata, OD
- Optometrist
- Los Angeles, CA
National Provider Identifier
1528116167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP5722
- Practice address
- 420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644 - Phone
- (213) 680-1551
- Fax
- (213) 680-2148
- NPI assigned
- Jan 8, 2007
- Last updated
- Dec 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP5722 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OP5722 | CA |
Addresses
Primary practice location
420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Mailing address
420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone (213) 680-1551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0057222 | Medicaid | CA | |
| SD0057220 | Medicaid | CA | |
| SD0057223 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP5722 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1528116167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 3RD ST",
"address_2": "SUITE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131644",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD ST",
"address_2": "SUITE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131644",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURATA",
"first_name": "STEVEN",
"middle_name": "K",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OP5722",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OP5722",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0057222",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0057220",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0057223",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.