Active NPI
Tina Shizuko Kami
- Family Nurse Practitioner
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF95009496
- Practice address
- 3356 W Ball Rd Ste 100
Anaheim, CA 92804-3727 - Phone
- (714) 827-6625
- Fax
- (714) 827-9726
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPF95009496 | CA | Primary |
Addresses
Primary practice location
3356 W Ball Rd Ste 100
Anaheim, CA 92804-3727
Mailing address
2509 S Deegan Dr
Santa Ana, CA 92704-5504
Phone (714) 612-3158
Other practice location 1
2509 S Deegan Dr
Santa Ana, CA 92704-5504
Phone (714) 612-3158
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tskami@hotail.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95009496 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Center of Irvine, Inc. | Current | Accepting new patients | |
| Global Transitional Care, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| Omar O. Fadeel, MD | Past | Accepting new patients |
Locations
5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
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-
- General Practice Physician
- Irvine, CA
- NPI 1225404957
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Non-Pharmacy Dispensing Site
- Anaheim, CA
- NPI 1740534932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1063990133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 S DEEGAN DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045504",
"telephone_number": "714-612-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W BALL RD STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043727",
"telephone_number": "714-827-6625",
"fax_number": "714-827-9726"
}
],
"practiceLocations": [
{
"address_1": "2509 S Deegan Dr",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927045504",
"country_code": "US",
"telephone_number": "714-612-3158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMI",
"first_name": "TINA",
"middle_name": "SHIZUKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF95009496",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tskami@hotail.com",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "3356 W Ball Rd Ste 100",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928043727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.