Paul Michihide Kanzawa, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

00031048 Issued in CA

Practice address

12200 Washington Blvd Ste M
Whittier, CA 90606-2579

Phone

(562) 945-4920

Fax

(562) 945-9360

NPI assigned

Aug 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paul Michihide Kanzawa Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1730792144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 WASHINGTON BLVD STE M",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062579",
            "telephone_number": "562-945-4920",
            "fax_number": "562-945-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WASHINGTON BLVD STE M",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062579",
            "telephone_number": "562-945-4920",
            "fax_number": "562-945-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZAWA",
        "first_name": "PAUL",
        "middle_name": "MICHIHIDE",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "00031048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "GXC000190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulkanzawa@p-o-group.com",
            "affiliation": "N",
            "address_1": "12200 Washington Blvd Ste M",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906062579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulkanzawa@p-o-group.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12200 Washington Blvd Ste M",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906062579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "KANZAWA",
            "middle_name": "MICHIHIDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gloria Kang
• Hongeun Kang, OTR
• Joseph I Kang, MD
• Yongho Kevin Kang, D.M.D.
• Tanya Kantak, DO
• Diana Hwa Kao, L.AC.
• Rachel Deanna Kaplan, D.O.
• Hraj Karajian
• Allison Nicole Kataoka
• Katie Fenton-Strauss, Licensed Clinical Social Worker, PC

• Orthotist in Whittier, CA
• Providers in Whittier, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.