NPIMap

Organization Active NPI

Wakamatsu & Wakamatsu DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1124133350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39574 Issued in CA
Legal business name
WAKAMATSU & WAKAMATSU DDS
Practice address
420 East Third Street
Suite 702
Los Angeles, CA 90013-1647
Phone
(213) 626-0561
Fax
(213) 626-0564
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tod Hitoshi Wakamatsu, DDSNPI 1932214236
Title
Partner
Phone
(213) 626-0561

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 39574 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 16661 CA

Addresses

Primary practice location

420 East Third Street
Suite 702
Los Angeles, CA 90013-1647

Mailing address

420 East Third Street
Suite 702
Los Angeles, CA 90013-1647
Phone (213) 626-0561

Other names 1

  • Tod H Wakamatsu DDS & Harold T Wakamatsu DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

420 E 3rd St
Ste 702
Los Angeles, CA 90013
Phone (213) 620-9906

Practitioners & affiliated clinicians

Practitioners 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124133350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EAST THIRD STREET",
            "address_2": "SUITE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131647",
            "telephone_number": "213-626-0561",
            "fax_number": "213-626-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EAST THIRD STREET",
            "address_2": "SUITE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131647",
            "telephone_number": "213-626-0561",
            "fax_number": "213-626-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKAMATSU & WAKAMATSU DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAKAMATSU",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "HITOSHI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-626-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39574",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "16661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tod H Wakamatsu DDS & Harold T Wakamatsu DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.