Izumi Yasuhara, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38963 Issued in CA

Practice address

6080 Center Dr FL 6
Los Angeles, CA 90045-9205

Phone

(888) 859-0145

NPI assigned

Jun 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Livara Health Medical Group PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1144469404
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1689439739
  NPD
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1699510362
  NPD
• Dieumy Michelle Thai, MD, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CA
  • NPI 1073625232
  NPD (past)
• Livara Health Medical Group NJ, PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1861282691
  NPD (past)
• Sequoia Physical Therapy Research Institute Inc

  • Physical Therapy Clinic/Center
  • Orange, CA
  • NPI 1982942322
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Del Mar, CA
  • NPI 1720517428
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1003170846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902941295",
            "telephone_number": "888-859-0145",
            "fax_number": "888-858-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459205",
            "telephone_number": "888-859-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16401 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926837827",
            "country_code": "US",
            "telephone_number": "714-596-4288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913626",
            "country_code": "US",
            "telephone_number": "888-859-0145",
            "fax_number": "888-858-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASUHARA",
        "first_name": "IZUMI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE PT LIC",
            "identifier": "38963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asil Ali Yassine
• Hussein Naji Yassine, M.D.
• Ryann Yassine
• Masae Yasuda
• Patrice Mitsuru Yasuda, PH.D.
• Julie Wenchu Yan Yasui, NP
• Alexa Yasutomi
• Fatima Belen Yataco
• Charles E. Yates, MD
• Emily Leilani Yates

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.