PENINSULA ORAL SURGERY & IMPLANTS – NPI #1255357893
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

PENINSULA ORAL SURGERY & IMPLANTS is an oral & maxillofacial surgeon located in TORRANCE, CA. NPPES has assigned the NPI number 1255357893 to PENINSULA ORAL SURGERY & IMPLANTS on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PENINSULA ORAL SURGERY & IMPLANTS” is a dba name, the actual legal business name for this organization is THOMAS T. OMOTO, DMD INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 4 years ago on Oct 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA ORAL SURGERY & IMPLANTS below.

NPI Profile for
THOMAS T. OMOTO, DMD INC

NPI Number
1255357893
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THOMAS T. OMOTO, DMD INC
Doing Business As (dba): PENINSULA ORAL SURGERY & IMPLANTS
Primary location
3445 PACIFIC COAST HWY
SUITE 205
TORRANCE, CA 90505
Phone: (310) 325-7800 Fax: (310) 325-7804
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS OMOTO
PRESIDENT
Phone: (310) 325-7800
Updated
Certification Date
Oct 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
261QD0000X
- Clinic/Center / Dental		 CA 31506

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.