NPIMap

Organization Active NPI

Bryce K. Yamauchi

Doing business as Gardena Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Gardena, CA
National Provider Identifier
1003075656
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3477 Issued in CA
Legal business name
BRYCE K. YAMAUCHI
Doing business as
Gardena Foot and Ankle
Practice address
1300 W 155TH St
Suite 210
Gardena, CA 90247-4048
Phone
(310) 767-1538
NPI assigned
Jun 7, 2008
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryce Kiyoshi Yamauchi, D.P.M.NPI 1679686976
Title
Owner
Phone
(310) 767-1538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3477 CA Primary

Addresses

Primary practice location

1300 W 155TH St
Suite 210
Gardena, CA 90247-4048

Mailing address

PO Box 66596
Seattle, WA 98166-0596
Phone (626) 960-5021

Other practice location 1

933 S Sunset Ave Ste 202
West Covina, CA 91790-3410
Phone (626) 960-5021

Other names 1

  • Gardena Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

933 S Sunset Ave
Ste 202
West Covina, CA 91790
Phone (626) 813-6630

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1003075656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660596",
            "telephone_number": "626-960-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "SUITE 210",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-767-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 S Sunset Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903410",
            "country_code": "US",
            "telephone_number": "626-960-5021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYCE K. YAMAUCHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "YAMAUCHI",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "KIYOSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-767-1538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardena Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.