NPIMap

Organization Active NPI

Craig K. Fujisaki, M.D., Inc, P.S.

  • Dermatology Physician
  • Renton, WA
National Provider Identifier
1063740926
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00017792 Issued in WA
Legal business name
CRAIG K. FUJISAKI, M.D., INC, P.S.
Practice address
4509 Talbot Rd S Ste 200
Renton, WA 98055-6294
Phone
(425) 228-4520
Fax
(425) 226-0283
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Craig K Fujisaki, M.D.NPI 1417046491
Title
President
Phone
(425) 228-4520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD00017792 WA Primary

Addresses

Primary practice location

4509 Talbot Rd S Ste 200
Renton, WA 98055-6294

Mailing address

4509 Talbot Rd S Ste 200
Renton, WA 98055-6294
Phone (425) 228-4520

Other identifiers 2

IdentifierTypeStateIssuer
070002119OtherWARAILROAD MEDICARE
FU5460OtherWAREGENCE BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1063740926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "425-228-4520",
            "fax_number": "425-226-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "425-228-4520",
            "fax_number": "425-226-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG K. FUJISAKI, M.D., INC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "FUJISAKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-228-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00017792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070002119",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "FU5460",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.