Organization Active NPI

Temazcal Family Clinic

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1245647908
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110242 Issued in CA
Legal business name
TEMAZCAL FAMILY CLINIC
Practice address
39277 Liberty St BLDG D
Fremont, CA 94538-1519
Phone
(408) 677-0904
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Liliana Tomona Yamashiro
Title
Owner
Phone
(408) 677-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 110242 CA Primary

Addresses

Primary practice location

39277 Liberty St BLDG D
Fremont, CA 94538-1519

Mailing address

39277 Liberty St BLDG D
Fremont, CA 94538-1519

National Provider Directory

National Provider Directory

Locations

39277 Liberty St
Bldg D
Fremont, CA 94538
Phone (408) 677-0904

39277 Liberty St
#D
Fremont, CA 94538
Phone (510) 935-8111

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1245647908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39277 LIBERTY ST BLDG D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39277 LIBERTY ST BLDG D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519",
            "telephone_number": "408-677-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMAZCAL FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "TOMONA YAMASHIRO",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-677-0904"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "110242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.