Organization Active NPI

Wesley M Kobayashi DPM Incorporated

  • Podiatrist
  • Huntington Beach, CA
National Provider Identifier
1770683682
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WESLEY M KOBAYASHI DPM INCORPORATED
Practice address
18800 Main St
Suite 104
Huntington Beach, CA 92648-1707
Phone
(714) 841-1963
Fax
(714) 841-6919
NPI assigned
Sep 22, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Wesley M. Kobayashi, DPMNPI 1487751251
Title
President
Phone
(714) 841-1963

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

18800 Main St
Suite 104
Huntington Beach, CA 92648-1707

Mailing address

18800 Main St
Suite 104
Huntington Beach, CA 92648-1707
Phone (714) 841-1963

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ06803ZOtherCAB/S OF CAL. GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000755 CA Part B Supplier - Clinic/Group Practice 1557562865 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1770683682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "SUITE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "SUITE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-841-1963",
            "fax_number": "714-841-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY M KOBAYASHI DPM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "KOBAYASHI",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-841-1963",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S OF CAL. GROUP #",
            "identifier": "ZZZ06803Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.