Organization Active NPI

B. Maya Kato, MD, a Professional Corporation

  • Otolaryngology Physician
  • Palm Desert, CA
National Provider Identifier
1942516737
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G86538 Issued in CA
Legal business name
B. MAYA KATO, MD, A PROFESSIONAL CORPORATION
Practice address
36867 Cook St
Suite 103
Palm Desert, CA 92211-6064
Phone
(760) 565-3900
Fax
(855) 505-3900
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Blythe Maya Kato, M.D.
Title
President
Phone
(760) 565-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G86538 CA Primary

Addresses

Primary practice location

36867 Cook St
Suite 103
Palm Desert, CA 92211-6064

Mailing address

36867 Cook St
Suite 103
Palm Desert, CA 92211-6064
Phone (760) 565-3900

Other identifiers 2

IdentifierTypeStateIssuer
EA334AOtherPTAN
00G865380MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1942516737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36867 COOK ST",
            "address_2": "SUITE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116064",
            "telephone_number": "760-565-3900",
            "fax_number": "855-505-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36867 COOK ST",
            "address_2": "SUITE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116064",
            "telephone_number": "760-565-3900",
            "fax_number": "855-505-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. MAYA KATO, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_middle_name": "MAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-565-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G86538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EA334A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G865380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.