Active NPI
Akira Bob Nakamura, MSW
- Clinical Social Worker
- Seal Beach, CA
National Provider Identifier
1235145178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS10501
- Practice address
- 910 Mar Vista Avenue
Seal Beach, CA 90740-5840 - Phone
- (562) 596-7952
- Fax
- (562) 598-5359
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS10501 | CA | Primary |
Addresses
Primary practice location
910 Mar Vista Avenue
Seal Beach, CA 90740-5840
Mailing address
PO Box 447
Seal Beach, CA 90740-0447
Phone (562) 596-7952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS10501 | Other | CA | BBSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10501 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235145178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907400447",
"telephone_number": "562-596-7952",
"fax_number": "562-598-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MAR VISTA AVENUE",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907405840",
"telephone_number": "562-596-7952",
"fax_number": "562-598-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "AKIRA",
"middle_name": "BOB",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBSE",
"identifier": "LCS10501",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
- Sean Michael Moran, RPT
- Katrina Moretta
- Motus Physical Therapy and Associates
- Kimberly Cherie Murray, H.A.D.
- Vanessa M Musser, D.M.D.
- Michael Nam, LAC
- Prakash Narain, MD
- Nathalie Maggio LMFT, a Marriage and Family Therapy Professional Cooperation
- Naval Hospital Camp Pendleton
- Scott Eugene Nelsen, O.D.
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.