Organization Active NPI

Yoshio J Furuya Maccca Aud Corp

  • Audiologist
  • Pasadena, CA
National Provider Identifier
1013082676
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU269 Issued in CA
Legal business name
YOSHIO J FURUYA MACCCA AUD CORP
Practice address
960 E Green St
Suite 101
Pasadena, CA 91106-2401
Phone
(626) 795-0679
Fax
(626) 795-5822
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mr. Yoshio Jimmy Furuya, MA
Title
Owner President
Phone
(626) 795-0679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AU269 CA Primary
Hearing Aid Equipment 332S00000X HA1097 CA

Addresses

Primary practice location

960 E Green St
Suite 101
Pasadena, CA 91106-2401

Mailing address

960 E Green Street
Suite 101
Pasadena, CA 91106-2401
Phone (626) 795-0679

Other identifiers 2

IdentifierTypeStateIssuer
HA1097OtherCALICENSE FOR HEARING AID D
ZZZ71175ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

960 E Green St
Ste 101
Pasadena, CA 91106
Phone (626) 449-1944

960 E Green St
Ste L-04
Pasadena, CA 91106
Phone (626) 795-0679

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1013082676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN STREET",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-795-0679",
            "fax_number": "626-795-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-795-0679",
            "fax_number": "626-795-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSHIO J FURUYA MACCCA AUD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "FURUYA",
        "authorized_official_first_name": "YOSHIO",
        "authorized_official_middle_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "626-795-0679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU269",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA1097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR HEARING AID D",
            "identifier": "HA1097",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71175Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.