Active NPI
Bryce K. Yamauchi
- Foot & Ankle Surgery Podiatrist
- Gardena, CA
National Provider Identifier
1003075656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3477
- Legal business name
- BRYCE K. YAMAUCHI
- Practice address
- 1300 W 155TH St
Suite 210
Gardena, CA 90247-4048 - Phone
- (310) 767-1538
- NPI assigned
- Jun 7, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- Owner
- Phone
- (310) 767-1538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E34772 | Medicaid | CA | |
| 000E34773 | Medicaid | CA |
Other names 1
- Gardena Foot and Ankle
National Provider Directory
National Provider DirectoryLocations
1300 W 155th St
Ste 210
Gardena, CA 90247
Phone (310) 327-6400
933 S Sunset Ave
Ste 202
West Covina, CA 91790
Phone (626) 813-6630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Mount Vernon, WA
- NPI 1679596365
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E34772",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E34773",
"state": "CA"
}
],
"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.