Kim N Aoto, O.D.
Individual provider Active NPI Optometrist · Encinitas, CA
NPI 1780935650 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1780935650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 14524TLG (CA)
- Practice address
- 320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139 - Phone
- (760) 943-7144
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Retina Institute of California Medical Group, a California Medical Par
Practice addresses (Care Compare)
100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130506000111 | CA | Practitioner - Optometry | 3577700897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14524TLG | CA | MD | Optometrist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Institute of California Medical Group, a California Medical Par | Optometrist | Current |
Accepting new patients |
| Barry a. Katzman, M.D., Inc Apc | Optometrist | Past | Accepting new patients |
Locations
288 N Santa Anita Ave
Ste 402
Arcadia, CA 91006
Phone (626) 269-5371
288 N Santa Anita Ave
Ste 101
Arcadia, CA 91006
288 N Santa Anita Ave
Ste 403
Arcadia, CA 91006
Phone (626) 574-0009
9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500
11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954
320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501
830 W Valley Pkwy
Ste 300
Escondido, CA 92025
Phone (619) 445-2687
9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010
7339 El Cajon Blvd
Ste Jk
La Mesa, CA 91942
Phone (619) 722-8460
7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460
100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838
6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600
4344 Convoy St
Ste C2
San Diego, CA 92111
Phone (858) 565-8822
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14524TLG | CA | Yes |
Addresses
Primary practice location
320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139
Mailing address
288 N Santa Anita Ave Ste 402
Arcadia, CA 91006-3183
Phone (800) 898-2020
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.