Individual provider Active NPI

Robert Ken Kasamatsu, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Inglewood, CA
National Provider Identifier
1598899957
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3736 Issued in CA
Practice address
3535 W. Imperial Hwy Unit B
Inglewood, CA 90303-2252
Phone
(310) 673-3338
Fax
(310) 671-4243
NPI assigned
Mar 15, 2007
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3736 CA Primary

Addresses

Primary practice location

3535 W. Imperial Hwy Unit B
Inglewood, CA 90303-2252

Mailing address

3535 W. Imperial Hwy Unit B
Inglewood, CA 90303-2252
Phone (310) 673-3338

Other identifiers 1

IdentifierTypeStateIssuer
000E37362MedicaidCA

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
I20120228000221 CA Practitioner - Podiatry 4183882707 Practice locations: Inglewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3535 W Imperial Hwy
Suite B
Inglewood, CA 90303-6204
Phone (310) 673-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3736CAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1598899957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W. IMPERIAL HWY UNIT B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032252",
            "telephone_number": "310-673-3338",
            "fax_number": "310-671-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W. IMPERIAL HWY UNIT B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032252",
            "telephone_number": "310-673-3338",
            "fax_number": "310-671-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAMATSU",
        "first_name": "ROBERT",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37362",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.