Active NPI
Mitsuaki David Kato, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1881744431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10896T
- Practice address
- 10800 W Pico Blvd
Space 199
Los Angeles, CA 90064-2130 - Phone
- (310) 441-4286
- Fax
- (310) 441-4289
- NPI assigned
- Jan 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10896T | CA | Primary |
Addresses
Primary practice location
10800 W Pico Blvd
Space 199
Los Angeles, CA 90064-2130
Mailing address
10800 W Pico Blvd
Space 199
Los Angeles, CA 90064-2130
Phone (310) 441-4286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10896T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881744431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 W PICO BLVD",
"address_2": "SPACE 199",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642130",
"telephone_number": "310-441-4286",
"fax_number": "310-441-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 W PICO BLVD",
"address_2": "SPACE 199",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642130",
"telephone_number": "310-441-4286",
"fax_number": "310-441-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATO",
"first_name": "MITSUAKI",
"middle_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10896T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.