Cheryl Yamamoto, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3565 Issued in AZ

Practice address

20165 N 67TH Ave Ste 107
Glendale, AZ 85308-7004

Phone

(623) 561-1590

Fax

(623) 561-0534

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cigna Health Care of Arizona Inc.

  • Clinic/Center
  • Glendale, AZ
  • NPI 1548383888
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1033108683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 W MONTE CRISTO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533936",
            "telephone_number": "310-200-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20165 N 67TH AVE STE 107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087004",
            "telephone_number": "623-561-1590",
            "fax_number": "623-561-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "CHERYL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81571828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gale W. Wyman, ED.D.
• Wynn Dental Corporation
• Clark B Wysong, MD
• Ana Josceline Xum
• Yabis LLC
• Patricia L. Yamamoto, LISAC
• Jennifer Yancey, M.S. SLP CF
• Jacob Yanes, RPH
• James Yang-Hellewell
• Chia-Lin Yang, MUSIC THERAPIST

• Medical Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.