Individual provider Active NPI

Edward Kazuhisa Nomoto, MD

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1861683245
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A102820 Issued in CA
Practice address
444 S San Vicente Blvd Ste 800
Los Angeles, CA 90048-4174
Phone
(310) 423-9780
Fax
(310) 423-9780
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X A102820 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd Ste 800
Los Angeles, CA 90048-4174

Mailing address

8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100
Phone (310) 746-5918

Other practice location 1

8436 W 3rd St Ste 800
Los Angeles, CA 90048-4100
Phone (310) 746-5918

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
I20110801000747 CA Practitioner - Orthopedic Surgery 0840469276 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Docs Health Medical GroupGroup PAC ID 1254871759, 11 clinicians

Practice addresses (Care Compare)

444 S San Vicente Blvd
Suite 800
Los Angeles, CA 90048-4174
Phone (310) 423-9780

8436 W 3Rd St
Suite 800
Los Angeles, CA 90048-4100
Phone (310) 746-5918

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion221
Laminectomy or laminotomy (partial removal of spine bones)108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102820CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Health Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Perri and Siddique Spine Surgery, Inc. CurrentSince Aug 1, 2012 Accepting new patients
Scripps Health Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Scripps Health Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Edward Nomoto Inc Orthopaedic Surgery PastSince Aug 11, 2014 Accepting new patients
Scripps Health Past Accepting new patients

Locations

9663 Santa Monica Blvd
Beverly Hills, CA 90210
Phone (310) 275-8377

8436 W 3rd St
Ste 800
Los Angeles, CA 90048
Phone (310) 448-3459

8436 W 3rd St
Ste 900
Los Angeles, CA 90048
Phone (310) 448-3459

444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048
Phone (310) 423-9769

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: enomoto134093@direct.cshs.org
  • Direct secure messaging: enomoto472806@oc.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1861683245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484100",
            "telephone_number": "310-746-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484174",
            "telephone_number": "310-423-9780",
            "fax_number": "310-423-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8436 W 3rd St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484100",
            "country_code": "US",
            "telephone_number": "310-746-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOMOTO",
        "first_name": "EDWARD",
        "middle_name": "KAZUHISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A102820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.