NPIMap

Organization Active NPI

J.Y. Tokuyama, D.D.S. and L.E. Hansen, D.D.S., a Professional Corporat

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1043210735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24506 Issued in CA
Legal business name
J.Y. TOKUYAMA, D.D.S. AND L.E. HANSEN, D.D.S., A PROFESSIONAL CORPORAT
Practice address
1987 Royal Ave
# 4
Simi Valley, CA 93065-4655
Phone
(805) 527-3306
Fax
(805) 578-6529
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisa E Hansen, DDSNPI 1902026503
Title
Owner
Phone
(805) 527-3306

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47371 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 36203 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 24506 CA Primary

Addresses

Primary practice location

1987 Royal Ave
# 4
Simi Valley, CA 93065-4655

Mailing address

1987 Royal Ave
# 4
Simi Valley, CA 93065-4655
Phone (805) 527-3306

National Provider Directory

National Provider Directory

Locations

1987 Royal Ave
Ste 4
Simi Valley, CA 93065
Phone (805) 527-3306

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043210735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 ROYAL AVE",
            "address_2": "# 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654655",
            "telephone_number": "805-527-3306",
            "fax_number": "805-578-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 ROYAL AVE",
            "address_2": "# 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654655",
            "telephone_number": "805-527-3306",
            "fax_number": "805-578-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.Y. TOKUYAMA, D.D.S. AND L.E. HANSEN, D.D.S., A PROFESSIONAL CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-527-3306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47371",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36203",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.