Individual provider Active NPI

Esther Ro Ishitani, M.D.

  • Child & Adolescent Psychiatry Physician
  • El Monte, CA
National Provider Identifier
1275677585
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A74330 Issued in CA
Practice address
3208 Rosemead Blvd FL 2
El Monte, CA 91731-2830
Phone
(626) 227-7014
Fax
(626) 227-7015
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A74330 CA
Child & Adolescent Psychiatry Physician 2084P0804X A74330 CA Primary

Addresses

Primary practice location

3208 Rosemead Blvd FL 2
El Monte, CA 91731-2830

Mailing address

1249 S Diamond Bar Blvd # 213
Diamond Bar, CA 91765-4122
Phone (323) 810-2604

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
I20110301000268 CA Practitioner - Psychiatry 7012198773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enki Health Services IncGroup PAC ID 8022926559, 25 clinicians

Practice addresses (Care Compare)

160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 974-0770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74330CAMDPharmacist
A74330CAMDPsychiatry Physician

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1275677585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 S DIAMOND BAR BLVD # 213",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654122",
            "telephone_number": "323-810-2604",
            "fax_number": "626-227-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 ROSEMEAD BLVD FL 2",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312830",
            "telephone_number": "626-227-7014",
            "fax_number": "626-227-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHITANI",
        "first_name": "ESTHER",
        "middle_name": "RO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A74330",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A74330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.