Active NPI
Yoshio J Furuya Maccca Aud Corp
- Audiologist
- Pasadena, CA
National Provider Identifier
1013082676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU269
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA1097 | Other | CA | LICENSE FOR HEARING AID D |
| ZZZ71175Z | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.