DR. KEVIN KOMOTO (NPI# 1942640974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942640974 |
| Entity Type | Individual |
| Full Name | DR. KEVIN KOMOTO |
| Credential | PHARM.D. |
| Practice Address |
2110 Truxtun Ave Ste 400 Bakersfield CA 93301-3703 |
| Mailing Address |
2110 Truxtun Ave # 400 Bakersfield CA 93301-3703 |
| Practice Telephone | 6614274612 |
| Mailing Telephone | 6614274612 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61292 | CA | Pharmacy Service Providers |
| Street Address |
2110 TRUXTUN AVE STE 400 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084275 | Souzan Tadros | Pharmacist | 2110 Truxtun Ave Ste 400, Bakersfield, CA 93301-3703 | 2020-05-15 |
| 1265900252 | Diana Lam Hang | Pharmacist | 2110 Truxtun Ave Ste 400, Bakersfield, CA 93301-3703 | 2018-11-07 |
| 1407282478 | Dharagauri G Dekivadia | Pharmacist | 2110 Truxtun Ave Ste 400, Bakersfield, CA 93301-3703 | 2013-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625769 | Gowoon Lee | Pharmacist | 9700 Panama Ln, Bakersfield, CA 93311-9745 | 2020-10-07 |
| 1356972038 | Michael Hoang Nguyen | Pharmacist | 10109 Cranberry Isle Dr, Bakersfield, CA 93314-8093 | 2020-01-30 |
| 1073150181 | Sherry Kuo | Pharmacist | 431 34th St, Bakersfield, CA 93301-2236 | 2019-12-08 |
| 1851933667 | Silva Safar | Pharmacist | 3405 Mont Blanc Ter, Bakersfield, CA 93306-7561 | 2019-10-14 |
| 1386208130 | Sharon Brar | Pharmacist | 10524 Hageman Rd, Bakersfield, CA 93312-9106 | 2019-04-26 |
| 1013477769 | Joel Frigillana | Pharmacist | 2003 Valewood St, Bakersfield, CA 93311-8526 | 2019-03-20 |
| 1922583814 | Dalia Hakim | Pharmacist | 4000 Scenic River Ln Apt 15l, Bakersfield, CA 93308-7528 | 2018-09-26 |
| 1093212722 | Estelle Inhae Kim | Pharmacist | 1100 Mondavi Way Apt E3, Bakersfield, CA 93312-4349 | 2018-04-09 |
| 1043714025 | Amir Elwazir | Pharmacist | 700 Airport Dr Apt C, Bakersfield, CA 93308-4113 | 2018-03-22 |
| 1386152411 | Woori Park | Pharmacist | 5645 Auburn St Ste B, Bakersfield, CA 93306-2870 | 2018-01-10 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on DR. KEVIN KOMOTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.