Organization Active NPI

Tadao Fujiwara, M.D. Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1275795965
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A25666 Issued in CA
Legal business name
TADAO FUJIWARA, M.D. INC.
Practice address
5300 Whittier Blvd
Los Angeles, CA 90022
Phone
(323) 980-8488
Fax
(323) 980-4848
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Lily Fujiwara
Title
Administrator
Phone
(323) 980-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A25666 CA Primary

Addresses

Primary practice location

5300 Whittier Blvd
Los Angeles, CA 90022

Mailing address

5300 Whittier Blvd
Los Angeles, CA 90022-4015
Phone (323) 980-8488

Other identifiers 1

IdentifierTypeStateIssuer
0A25666MedicaidCA

National Provider Directory

National Provider Directory

Locations

5300 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 263-9685

616 N Garfield Ave
#200
Monterey Park, CA 91754
Phone (818) 288-1752

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1275795965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224015",
            "telephone_number": "323-980-8488",
            "fax_number": "323-980-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-980-8488",
            "fax_number": "323-980-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADAO FUJIWARA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "FUJIWARA",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-980-8488"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A25666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.