NPIMap

Organization Active NPI

Michitaro Yamamoto, R.P.T., Inc.

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1336313287
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3707 Issued in CA
Legal business name
MICHITARO YAMAMOTO, R.P.T., INC.
Practice address
18700 Main St
Suite 107
Huntington Beach, CA 92648-1706
Phone
(714) 847-2501
Fax
(714) 847-8232
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Michitaro Yamamoto, P.T.
Title
Owner
Phone
(714) 847-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT3707 CA Primary

Addresses

Primary practice location

18700 Main St
Suite 107
Huntington Beach, CA 92648-1706

Mailing address

18700 Main St
Suite 107
Huntington Beach, CA 92648-1706
Phone (714) 847-2501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1336313287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481706",
            "telephone_number": "714-847-2501",
            "fax_number": "714-847-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481706",
            "telephone_number": "714-847-2501",
            "fax_number": "714-847-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHITARO YAMAMOTO, R.P.T., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "MICHITARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-847-2501",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT3707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.