Individual provider Active NPI

Michael Alexander Okazaki

  • Family Medicine Physician
  • Claremont, CA
National Provider Identifier
1164059747
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19850 Issued in CA
Practice address
1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone
(909) 630-7938
Fax
(909) 469-1469
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A19850 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601

Mailing address

1601 Monte Vista Ave Ste 260
Claremont, CA 91711-6604
Phone (909) 865-9501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002332 CA Practitioner - Family Practice 5294142303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 100
Claremont, CA 91711-6601
Phone (909) 630-7893

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19850CAMDDentist
20A19850CAMDFamily Medicine Physician
1393CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince May 1, 2023 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1164059747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116604",
            "telephone_number": "909-865-9501",
            "fax_number": "909-469-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAZAKI",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.