Individual provider Active NPI

Michael Shintaku, BS & CERTIICATES

  • Homeopath
  • Altadena, CA
National Provider Identifier
1043147663
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
2090 New York Dr
Altadena, CA 91001-3450
Phone
(626) 644-9764
NPI assigned
May 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomeopathGroup: 193400000X SINGLE SPECIALTY GROUP 175L00000X Primary

Addresses

Primary practice location

2090 New York Dr
Altadena, CA 91001-3450

Mailing address

2090 New York Dr
Altadena, CA 91001-3450
Phone (626) 644-9764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1043147663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 NEW YORK DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013450",
            "telephone_number": "626-644-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NEW YORK DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013450",
            "telephone_number": "626-644-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTAKU",
        "first_name": "MICHAEL",
        "credential": "BS & CERTIICATES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.