Individual provider Active NPI

Kim N Aoto, O.D.

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1780935650
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14524TLG Issued in CA
Practice address
320 Santa Fe Dr Ste 104
Encinitas, CA 92024-5139
Phone
(760) 943-7144
NPI assigned
Oct 1, 2012
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14524TLG CA Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130506000111 CA Practitioner - Optometry 3577700897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14524TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Jan 9, 2018 Accepting new patients
Barry a. Katzman, M.D., Inc Apc Optometrist Past Accepting new patients

Locations

288 N Santa Anita Ave
Ste 101
Arcadia, CA 91006

288 N Santa Anita Ave
Ste 402
Arcadia, CA 91006
Phone (626) 269-5371

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 A
La Mesa, CA 91942
Phone (619) 722-8460

7339 El Cajon Blvd
Ste Jk
La Mesa, CA 91942
Phone (619) 722-8460

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

4344 Convoy St
Ste C2
San Diego, CA 92111
Phone (858) 565-8822

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1780935650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "800-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 104",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245139",
            "telephone_number": "760-943-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AOTO",
        "first_name": "KIM",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14524TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.