Active NPIIndividual provider

Kaili Masamoto

Physician Assistant in White River Junction, Vermont

NPI Number1871132415
Practice location
163 Veterans Drive, White River Junction, VT 05009-4857
Fax
—
Last updated
June 10, 2021

Kaili Masamoto is a Physician Assistant based in White River Junction, VT. Kaili Masamoto practices in White River Junction, VT. The NPI Number for Kaili Masamoto is 1871132415. The current practice location address for Kaili Masamoto is 163 Veterans Drive, White River Junction, VT 05009-4857 and can be reached out via phone at 802-295-9363.

Provider Profile Details

NPI Number
1871132415
Provider Name
Kaili Masamoto
Provider Entity Type
Individual
Gender
Female
Address
163 Veterans Drive, White River Junction, VT 05009-4857
Phone Number
802-295-9363
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2019
Last Update Date
June 10, 2021
Certification Date
June 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Veterans Drive
White River Junction, VT 05009-4857
State
Vermont
Zip
05009-4857
Phone Number
802-295-9363
White River Junction, VT 05009Get directions →

Provider Business Mailing Address Details

Address
1311 Cassins St
Carlsbad, CA 92011-4857
City
Carlsbad
State
CA
Zip
92011-4857

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaili Masamoto?

The NPI number of Kaili Masamoto is 1871132415. It was assigned on December 30, 2019 and is currently active in the NPPES registry.

What is the specialty of Kaili Masamoto?

Kaili Masamoto is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Kaili Masamoto practice?

The practice location is 163 Veterans Drive, White River Junction, VT 05009-4857. The office can be reached at 802-295-9363 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871132415 directly on the NPPES registry website.

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