Organization Active NPI

Masayasu Kihira MD a Professional Corporation

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1770540858
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MASAYASU KIHIRA MD A PROFESSIONAL CORPORATION
Practice address
40 N San Mateo Dr
Nihon Bay Clinic
San Mateo, CA 94401-2824
Phone
(650) 558-0337
Fax
(650) 558-9364
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Masayasu Kihira, MD PHDNPI 1851358071
Title
Family Practitioner Medical Directo
Phone
(650) 558-0337

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

40 N San Mateo Dr
Nihon Bay Clinic
San Mateo, CA 94401-2824

Mailing address

40 N San Mateo Dr
Nihon Bay Clinic
San Mateo, CA 94401-2824
Phone (650) 558-0337

Other names 1

  • Nihon Bay Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901000796 CA Part B Supplier - Clinic/Group Practice 7810962867 Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1035320Nihon Bay Clinic/Masayasu Kihira MD40 North San Mateo Drive, San Mateo, CA 94401Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

40 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 558-0337

Practitioners & affiliated clinicians

Practitioners 3

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1770540858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N SAN MATEO DR",
            "address_2": "NIHON BAY CLINIC",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012824",
            "telephone_number": "650-558-0337",
            "fax_number": "650-558-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N SAN MATEO DR",
            "address_2": "NIHON BAY CLINIC",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012824",
            "telephone_number": "650-558-0337",
            "fax_number": "650-558-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASAYASU KIHIRA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "KIHIRA",
        "authorized_official_first_name": "MASAYASU",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER MEDICAL DIRECTO",
        "authorized_official_telephone_number": "650-558-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nihon Bay Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.