Active NPI
Elena Yamaguchi MD PA
- Infectious Disease Physician
- Delray Beach, FL
National Provider Identifier
1023127156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- ELENA YAMAGUCHI MD PA
- Practice address
- 13550 Jog Rd
Suite 202a
Delray Beach, FL 33446-3808 - Phone
- (561) 495-9289
- Fax
- (561) 495-9293
- NPI assigned
- Aug 30, 2006
- Last updated
- May 27, 2008
- 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
- Elena Yamaguchi, MD
- Title
- Owner
- Phone
- (561) 495-9289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | NU | Primary |
Addresses
Primary practice location
13550 Jog Rd
Suite 202a
Delray Beach, FL 33446-3808
Mailing address
13550 Jog Rd
Suite 202a
Delray Beach, FL 33446-3808
Phone (561) 495-9289
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259993700 | Medicaid | FL | |
| NI446 | Other | FL | WELLCARE |
| K5289 | Other | FL | MEDICARE GROUP PIN |
| 27681 | Other | FL | BLUE CROSS BLUE SHIELD OF FLA |
| 440002986 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Delray Beach, FL
- NPI 1609980531
-
- Infectious Disease Physician
- Delray Beach, FL
- NPI 1396924734
-
- Nurse Practitioner
- Delray Beach, FL
- NPI 1518246313
-
- Nurse Practitioner
- Miami, FL
- NPI 1821024118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1023127156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13550 JOG RD",
"address_2": "SUITE 202A",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463808",
"telephone_number": "561-495-9289",
"fax_number": "561-495-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 JOG RD",
"address_2": "SUITE 202A",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463808",
"telephone_number": "561-495-9289",
"fax_number": "561-495-9293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENA YAMAGUCHI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "YAMAGUCHI",
"authorized_official_first_name": "ELENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-495-9289",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259993700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "NI446",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "K5289",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLA",
"identifier": "27681",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "440002986",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.