Nikkei Pediatric Medical Group Inc

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

NIKKEI PEDIATRIC MEDICAL GROUP INC

Practice address

420 E 3Rd Street
Suite 803
Los Angeles, CA 90013-1646

Phone

(213) 617-7073

Fax

(213) 617-3132

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Etsuro Nakashima, M.D.NPI 1376637801

Title

President

Phone

(213) 617-7073

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• George Etsuro Nakashima, MD

  • Pediatric Adolescent Medicine Physician
  • Los Angeles, CA
  • NPI 1376637801
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316030968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD STREET",
            "address_2": "SUITE 803",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131646",
            "telephone_number": "213-617-7073",
            "fax_number": "213-617-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD STREET",
            "address_2": "SUITE 803",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131646",
            "telephone_number": "213-617-7073",
            "fax_number": "213-617-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKEI PEDIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKASHIMA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ETSURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-617-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hooman Nikizad, MD
• Nikjoo Dental Inc
• Ebi Donavan Nikjoo
• Rabin Nikjoo, M.D.
• Anoosheh Nikkar, PA-C
• Kiavash Nikkhou, M.D.
• Nikki Rubin Speech Therapy, Corp.
• Nikki Rubin, Psy.D., a Psychological Corporation
• Arman Michael Niknafs
• Nader Niknam, DDS

• Pediatric Adolescent Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.