Organization Active NPI

Kentoshi, Inc.

  • Ophthalmology Physician
  • Monterey, CA
National Provider Identifier
1891990032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G31289 Issued in CA
Legal business name
KENTOSHI, INC.
Practice address
21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831
Phone
(831) 372-1500
Fax
(831) 655-6493
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roger Husted, M.D.
Title
Owner
Phone
(831) 372-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G31289 CA Primary

Addresses

Primary practice location

21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831

Mailing address

21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831
Phone (831) 372-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891990032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-372-1500",
            "fax_number": "831-655-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-372-1500",
            "fax_number": "831-655-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTOSHI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSTED",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-372-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G31289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.