Organization Active NPI

Elena Yamaguchi MD PA

  • Infectious Disease Physician
  • Delray Beach, FL
National Provider Identifier
1023127156
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Elena Yamaguchi, MDNPI 1609980531
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
259993700MedicaidFL
NI446OtherFLWELLCARE
K5289OtherFLMEDICARE GROUP PIN
27681OtherFLBLUE CROSS BLUE SHIELD OF FLA
440002986OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001793 FL Part B Supplier - Clinic/Group Practice 8729073549 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.