Organization Active NPI

Lloyd K Ito,M.D,Apc

  • Family Medicine Physician
  • Granada Hills, CA
National Provider Identifier
1659609345
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51268 Issued in CA
Legal business name
LLOYD K ITO,M.D,APC
Practice address
10515 Balboa Blvd Ste 325
Granada Hills, CA 91344-6364
Phone
(818) 366-0565
Fax
(818) 366-6383
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Lloyd K Ito, M.D.NPI 1538184957
Title
Owner,Ceo
Phone
(818) 366-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G51268 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 325
Granada Hills, CA 91344-6364

Mailing address

10515 Balboa Blvd Ste 325
Granada Hills, CA 91344-6364
Phone (818) 366-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000611 CA Part B Supplier - Clinic/Group Practice 6800921396 Receives reassigned benefits from 1 practitioner
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1659609345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 325",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446364",
            "telephone_number": "818-366-0565",
            "fax_number": "818-366-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 325",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446364",
            "telephone_number": "818-366-0565",
            "fax_number": "818-366-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD K ITO,M.D,APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "ITO",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER,CEO",
        "authorized_official_telephone_number": "818-366-0565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.