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Michelle Kishimoto, O.D.
NPI 1417007014 · Optometrist · Redondo Beach, CA
Michelle Kishimoto, O.D. is a Optometrist provider in Redondo Beach, CA (NPI 1417007014).
Provider details
- NPI number
- 1417007014
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 11949T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 Hawthorne Blvd
Ste 236 Galleria at South Bay
Redondo Beach, CA 90278-3424
Phone: (310) 370-1618
Fax: (310) 371-3126
Approximate (ZIP-level) locationGet directions
Mailing address
17868 Hazelwood Ct
Carson, CA 90746-7481
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michelle Kishimoto's NPI number?
- Michelle Kishimoto's National Provider Identifier (NPI) is 1417007014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Kishimoto's specialty?
- Michelle Kishimoto is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Michelle Kishimoto located?
- Michelle Kishimoto's practice location on file with NPPES is 1815 Hawthorne Blvd, Redondo Beach, CA 90278-3424.
- What is Michelle Kishimoto's phone number?
- The practice phone number listed in the NPPES registry for Michelle Kishimoto is (310) 370-1618.
- Is Michelle Kishimoto's NPI active?
- Yes — Michelle Kishimoto's NPI (1417007014) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.