Individual provider Active NPI

Michael Haruo Narita, PT, DPT

  • Physical Therapist
  • Los Alamitos, CA
National Provider Identifier
1194368035
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296938 Issued in CA
Practice address
3662 Katella Ave Ste 105
Los Alamitos, CA 90720-3180
Phone
(562) 799-4494
NPI assigned
Oct 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT296938 CA Primary

Addresses

Primary practice location

3662 Katella Ave Ste 105
Los Alamitos, CA 90720-3180

Mailing address

5242 Del Sur Cir
La Palma, CA 90623-2211

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

State licenses

LicenseStateTypeSpecialty
PT296938CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1194368035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 DEL SUR CIR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203180",
            "telephone_number": "562-799-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARITA",
        "first_name": "MICHAEL",
        "middle_name": "HARUO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.