Individual provider Active NPI

Russell G. Kuwamoto, D. C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1104900380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14118 Issued in CA
Practice address
2384 E Gettysburg Ave
Fresno, CA 93726-0320
Phone
(559) 222-2333
Fax
(559) 222-2547
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14118 CA Primary

Addresses

Primary practice location

2384 E Gettysburg Ave
Fresno, CA 93726-0320

Mailing address

2384 E Gettysburg Ave
Fresno, CA 93726-0320
Phone (559) 222-2333

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William Garnica a Medical Corporation PastSince Oct 12, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104900380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260320",
            "telephone_number": "559-222-2333",
            "fax_number": "559-222-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260320",
            "telephone_number": "559-222-2333",
            "fax_number": "559-222-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUWAMOTO",
        "first_name": "RUSSELL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.