Active NPI
Kenneth H. Sakurai, D.D.S.
- Dentist
- Marina del Rey, CA
National Provider Identifier
1972704468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33657
- Practice address
- 4553 Glencoe Ave Ste 215
Marina del Rey, CA 90292-7908 - Phone
- (310) 822-4799
- Fax
- (310) 822-0989
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 33657 | CA | Primary |
Addresses
Primary practice location
4553 Glencoe Ave Ste 215
Marina del Rey, CA 90292-7908
Mailing address
4553 Glencoe Ave Ste 215
Marina del Rey, CA 90292-7908
Phone (310) 822-4799
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33657 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972704468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4553 GLENCOE AVE STE 215",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927908",
"telephone_number": "310-822-4799",
"fax_number": "310-822-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4553 GLENCOE AVE STE 215",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927908",
"telephone_number": "310-822-4799",
"fax_number": "310-822-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKURAI",
"first_name": "KENNETH",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "33657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, 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.