Edwin Kazuo Kikuchi, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS4695 Issued in CA

Practice address

29099Hospital Road
Suite 209
Lake Arrowhead, CA 92352

Phone

(909) 337-8219

Fax

(909) 337-8920

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023049673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "RUNNING SPRINGS",
            "state": "CA",
            "postal_code": "923820033",
            "telephone_number": "909-867-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099HOSPITAL ROAD",
            "address_2": "SUITE 209",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "909-337-8219",
            "fax_number": "909-337-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKUCHI",
        "first_name": "EDWIN",
        "middle_name": "KAZUO",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hi-Land Mountain Homes (Above it All Alcohol & Drug Treatment Center)
• Kwangja Lee Hong, CRNA
• Corey K Houmand, DDS
• Lisa James, RN
• Kieth J. Burkart, O.D., a Professional Corporation
• Knots and Hands
• Kim Ruth Kupfer Meares, MFT
• Kyi Kyi Thwin Win MD Inc
• Lake Arrowhead Fire District
• Lake Arrowhead Home Health Care, LLC

• Clinical Social Worker in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.