Individual provider Active NPI

Dana Kanemaru, DPT

  • Orthopedic Physical Therapist
  • Long Beach, CA
National Provider Identifier
1295200525
Registry record updated Oct 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT295241 Issued in CA
Practice address
2017 Palo Verde Ave Ste 101
Long Beach, CA 90815-3300
Phone
(562) 493-5501
NPI assigned
Oct 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT295241 CA Primary

Addresses

Primary practice location

2017 Palo Verde Ave Ste 101
Long Beach, CA 90815-3300

Mailing address

12451 Autumn Breeze St
Cerritos, CA 90703-8313
Phone (562) 392-2662

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295241CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1295200525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 AUTUMN BREEZE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038313",
            "telephone_number": "562-392-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 PALO VERDE AVE STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153300",
            "telephone_number": "562-493-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEMARU",
        "first_name": "DANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT295241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; 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.