Individual provider Active NPI

Kenneth Y Kita, M.D

  • Clinical Cardiac Electrophysiology Physician
  • Burbank, CA
National Provider Identifier
1699034835
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A129520 Issued in CA
Practice address
201 S Buena Vista St Ste 100
Burbank, CA 91505-4570
Phone
(818) 848-6404
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X A129520 CA Primary

Addresses

Primary practice location

201 S Buena Vista St Ste 100
Burbank, CA 91505-4570

Mailing address

201 S Buena Vista St Ste 100
Burbank, CA 91505-4570

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720003603 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749543023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Southern California Keck School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 Santa Monica Blvd
FL 3
Santa Monica, CA 90404-1878

21311 Madrona Ave
Suite 101
Torrance, CA 90503-5970

660 W Broadway
Glendale, CA 91204-1008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129520CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jan 8, 2024 Accepting new patients
Heartbeat Cardiovascular Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Jan 8, 2024 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

1809 Verdugo Blvd
Ste 220
Glendale, CA 91208
Phone (818) 495-7041

660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600

1300 N Vermont Ave
Ste 1009
Los Angeles, CA 90027
Phone (323) 666-6210

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1699034835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054570",
            "telephone_number": "818-848-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITA",
        "first_name": "KENNETH",
        "middle_name": "Y",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A129520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.