Deidre Kawamoto, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09250798 Issued in CA

Practice address

10580 Bruns Dr
Tustin, CA 92782-1413

Phone

(714) 722-0203

NPI assigned

Sep 23, 2025

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1891667325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 BRUNS DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821413",
            "telephone_number": "714-722-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 BRUNS DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821413",
            "telephone_number": "714-722-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMOTO",
        "first_name": "DEIDRE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F09250798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iakbal Kaur
• Palwinder Kaur, LAC
• Keith Norman Kausler, D.C.
• Kiana Kaveh, PHARM.D
• Hiroko Kawabata
• Megan Elizabeth Kay, M.P.T.
• Beena Kazi, M.D.
• Douglas Richard Keene
• Keith Norman Kausler DC Inc-a
• Tina Keith

• Family Nurse Practitioner in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.