Individual provider Active NPI

Naori Yamashiro, M.D.

  • Family Medicine Physician
  • Centralia, WA
National Provider Identifier
1033420104
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60537246 Issued in WA
Practice address
1010 S Scheuber Rd Ste 3&4
PMG SW Wa Centralia Int Med
Centralia, WA 98531-8892
Phone
(360) 827-7966
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60537246 WA Primary

Addresses

Primary practice location

1010 S Scheuber Rd Ste 3&4
PMG SW Wa Centralia Int Med
Centralia, WA 98531-8892

Mailing address

PO Box 3360
Portland, OR 97208-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731014222 WA Practitioner - Geriatric MedicinePractitioner - Family Practice 5395059638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

3001 Squalicum Pkwy
Suite 14a
Bellingham, WA 98225-1949
Phone (360) 788-6934

3015 Squalicum Pkwy
Bellingham, WA 98225-1906

Hospital & facility affiliations

  • Peacehealth Home Health of Whatcom County Home health agency, Bellingham, WA, CCN 507307
  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Alpha Home Health Home health agency, Everett, WA, CCN 507107
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Sep 17, 2018 Accepting new patients
Peacehealth Family Medicine CurrentSince Sep 17, 2018 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

3015 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: nyamashiro389617@direct.peacehealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1033420104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S SCHEUBER RD STE 3&4",
            "address_2": "PMG SW WA CENTRALIA INT MED",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318892",
            "telephone_number": "360-827-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASHIRO",
        "first_name": "NAORI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60537246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.