Kristal C Kawamoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13522 Issued in CA

Practice address

19636 Sherman Way
Reseda, CA 91335-3647

Phone

(818) 774-2020

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Portal Optometry IncGroup PAC ID 6305124223, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• El Portal Optometry, Inc

  dba Valley Optometry Eyecare of North Hollywood

  • Optometrist
  • North Hollywood, CA
  • NPI 1215212626
  Medicare reassignment Care Compare group NPD
• Valley Optometry Eyecare Center, Inc.

  dba Valley Optometry Eyecare

  • Optometrist
  • Reseda, CA
  • NPI 1649400920
  Medicare reassignment NPD
• Clear Vision Optometry, Inc.

  • Optometrist
  • North Hollywood, CA
  • NPI 1669666723
  NPD (past)
• Richard J. Miyamoto, O.D

  • Optometrist
  • Gardena, CA
  • NPI 1427185990
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1730335845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20547 PESARO WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264149",
            "telephone_number": "818-642-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353647",
            "telephone_number": "818-774-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5269 Lankershim Blvd",
            "address_purpose": "LOCATION",
            "city": "N Hollywood",
            "state": "CA",
            "postal_code": "916013111",
            "country_code": "US",
            "telephone_number": "818-769-2020",
            "fax_number": "818-769-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAMOTO",
        "first_name": "KRISTAL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alemitu F Kassa, R.N.
• Anna - Katz, DDS
• Talia Samantha Karu Katz, ASW
• Julie Kaufman
• Katie Lyn Kavinski, DPT
• Yuka Kawasaki
• Kazangian Dental Care Inc (Affordable Dental Care)
• Armand Kazangian, DDS
• Mariana Liliana Kazangian, DDS
• Ann C. Keren-Zvi

• Optometrist in Reseda, CA
• Providers in Reseda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.