Cynthia Kodama, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20A10411 Issued in CA

Legal business name

CYNTHIA KODAMA, INC

Practice address

2104 Wilshire Blvd
Santa Monica, CA 90403-5704

Phone

(310) 882-8258

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Kodama, D.O.NPI 1013166503

Title

Owner

Phone

(323) 791-9867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Chizuko Kodama, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • South Pasadena, CA
  • NPI 1013166503
  Medicare reassignment Authorized official
• Joseph Clarke, LAC

  • Acupuncturist
  • Santa Monica, CA
  • NPI 1669893913
  NPD (past)
• Tricia A. Len, MD

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1588643795
  NPD (past)
• Sarah Murphy, N.D.

  • Naturopath
  • Malibu, CA
  • NPI 1528218948
  NPD (past)
• Ann Marie Nguyen, ND, LAC

  • Naturopath
  • El Segundo, CA
  • NPI 1245464106
  NPD (past)
• Kimberly D Reid, LAC

  • Acupuncturist
  • Santa Monica, CA
  • NPI 1982864922
  NPD (past)
• Kristin Rotblatt, L.AC

  • Acupuncturist
  • Santa Monica, CA
  • NPI 1386904241
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1003231101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 PEBBLE HURST ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544422",
            "telephone_number": "323-791-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035704",
            "telephone_number": "310-882-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA KODAMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "KODAMA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-791-9867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A10411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivy Tran Cusumano
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• Lauren Cutler
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• Francis Peter Cyran, MD
• D. Gareth Wootton, M.D., Inc.
• D. Kattengell O.D. Inc.
• Amanda D'Almeida, MD
• Sarah Frances D'Ambruoso, RN, NP

• Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.