Individual provider Active NPI

Masayasu Kihira, MD PHD

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1851358071
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A061938 Issued in CA
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A061938 CA Primary
General Practice Physician 208D00000X A061938 CA

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000672 CA Practitioner - Family Practice 3870568827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Masayasu Kihira MD a Professional Corporation Family Medicine CurrentSince Aug 12, 2003 Accepting new patients
Nippon Clinic Dental Group, Inc. Past Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation PastSince Jan 12, 2004 Accepting new patients
Hmga PC Family Medicine Past Accepting new patients

Locations

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and 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-1",
    "last_updated_epoch": "1308614400000",
    "number": "1851358071",
    "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": {
        "last_name": "KIHIRA",
        "first_name": "MASAYASU",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A061938",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A061938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.