Individual provider Active NPI

Edwin Kenji Sakamoto, M.D.

  • Internal Medicine Physician
  • Cypress, CA
National Provider Identifier
1255679445
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G30948 Issued in CA
Practice address
5995 Plaza Dr.
Mail Stop Ca112-0533
Cypress, CA 90630-5015
Phone
(714) 226-3762
Fax
(714) 226-3933
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G30948 CA Primary

Addresses

Primary practice location

5995 Plaza Dr.
Mail Stop Ca112-0533
Cypress, CA 90630-5015

Mailing address

5995 Plaza Dr.
Mail Stop Ca112-0533
Cypress, CA 90630-5015
Phone (714) 226-3762

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G30948CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1255679445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 PLAZA DR.",
            "address_2": "MAIL STOP CA112-0533",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305015",
            "telephone_number": "714-226-3762",
            "fax_number": "714-226-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 PLAZA DR.",
            "address_2": "MAIL STOP CA112-0533",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305015",
            "telephone_number": "714-226-3762",
            "fax_number": "714-226-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "EDWIN",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G30948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.