Active NPI
Steven H. Fujimoto, DDS
- Pediatric Dentistry
- Playa del Rey, CA
National Provider Identifier
1346316031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 50056
- Practice address
- 8505 Gulana Ave
Unit 6114
Playa del Rey, CA 90293-8380 - Phone
- (415) 515-8766
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 50056 | CA | Primary |
Addresses
Primary practice location
8505 Gulana Ave
Unit 6114
Playa del Rey, CA 90293-8380
Mailing address
8505 Gulana Ave
Unit 6114
Playa del Rey, CA 90293-8380
Phone (415) 515-8766
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50056 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1346316031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 GULANA AVE",
"address_2": "UNIT 6114",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938380",
"telephone_number": "415-515-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 GULANA AVE",
"address_2": "UNIT 6114",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938380",
"telephone_number": "415-515-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIMOTO",
"first_name": "STEVEN",
"middle_name": "H.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "50056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.