Yamada Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19337 Issued in CA

Legal business name

YAMADA CHIROPRACTIC INC.

Practice address

18331 Gridley Rd Ste C
Cerritos, CA 90703-5438

Phone

(562) 860-3662

Fax

(562) 860-4377

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jon R Yamada IV, D.C.

Title

Owner

Phone

(562) 860-3662

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1073601878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD STE C",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-860-3662",
            "fax_number": "562-860-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD STE C",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-860-3662",
            "fax_number": "562-860-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMADA CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-860-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19337",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W20329",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Wratschko
• Jared Wu, DDS
• Andrea Wulfsberg
• Qing Xu, NP
• Mike Michio Yagake, D.D.S.
• Jon R Yamada, D.C.
• Hiroshi Yamagata, MD
• Joseph C. Yang, D.M.D.
• Matthew Alexander Yang
• Stan CHI-Chuan Yang, O.D.

• Chiropractor in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.