Individual provider Active NPI

Wayne Toru Nishigaya, MD

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1275610313
Registry record updated May 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C32497 Issued in CA
Practice address
3010 W Orange Ave
Suite 201
Anaheim, CA 92804-3169
Phone
(714) 827-9700
Fax
(714) 827-6191
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2012

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 C32497 CA Primary

Addresses

Primary practice location

3010 W Orange Ave
Suite 201
Anaheim, CA 92804-3169

Mailing address

3010 W Orange Ave
Suite 201
Anaheim, CA 92804-3169
Phone (714) 827-9700

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
I20120330000636 CA Practitioner - General Practice 3870516768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32497CAMDLicensed Psychiatric Technician
C32497CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne T Nishigaya, M.D. Family Medicine CurrentSince Jan 1, 1973 Accepting new patients

Locations

3010 W Orange Ave
Ste 201
Anaheim, CA 92804
Phone (714) 827-9700

3055 W Orange Ave
Ste 207
Anaheim, CA 92804
Phone (714) 229-8246

3010 W Orange Ave
Ste 20
Anaheim, CA 92804

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337990400000",
    "number": "1275610313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-827-9700",
            "fax_number": "714-827-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-827-9700",
            "fax_number": "714-827-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIGAYA",
        "first_name": "WAYNE",
        "middle_name": "TORU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C32497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.