Organization Active NPI

Mitsuaki David Kato, O.D., Inc.

  • Optometrist
  • Culver City, CA
National Provider Identifier
1962954792
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10896T Issued in CA
Legal business name
MITSUAKI DAVID KATO, O.D., INC.
Practice address
6000 Sepulveda Blvd Ste 1680
Culver City, CA 90230-6429
Phone
(310) 390-2142
Fax
(310) 397-5306
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Mitsuaki David Kato, O.D.
Title
Ceo
Phone
(310) 266-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10896T CA Primary

Addresses

Primary practice location

6000 Sepulveda Blvd Ste 1680
Culver City, CA 90230-6429

Mailing address

12040 Hammack St
Culver City, CA 90230-5922
Phone (310) 266-3155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1962954792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 HAMMACK ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305922",
            "telephone_number": "310-266-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SEPULVEDA BLVD STE 1680",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306429",
            "telephone_number": "310-390-2142",
            "fax_number": "310-397-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITSUAKI DAVID KATO, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "MITSUAKI",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10896T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.