Active NPI
Mitsuo Yamauchi
- Physical Therapist
- Rancho Palos Verdes, CA
National Provider Identifier
1063702249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 16345
- Practice address
- 30210 Cheret PL
Rancho Palos Verdes, CA 90275-5727 - Phone
- (310) 634-9211
- NPI assigned
- Apr 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 16345 | CA | Primary |
Addresses
Primary practice location
30210 Cheret PL
Rancho Palos Verdes, CA 90275-5727
Mailing address
30210 Cheret PL
Rancho Palos Verdes, CA 90275-5727
Other names 1
- Mits Yamauchi
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 16345 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1063702249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30210 CHERET PL",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30210 CHERET PL",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755727",
"telephone_number": "310-634-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAUCHI",
"first_name": "MITSUO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 16345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITS",
"last_name": "YAMAUCHI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.