Poy Sakjirapapong Yamada, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015496 Issued in CA

Practice address

18107 Sherman Way Ste 200
Reseda, CA 91335-8802

Phone

(818) 783-1002

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roze Room Hospice of the Valley Inc

  • Community Based Hospice Care Agency
  • Reseda, CA
  • NPI 1669474987

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1346843935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-316-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358802",
            "telephone_number": "818-783-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMADA",
        "first_name": "POY",
        "middle_name": "SAKJIRAPAPONG",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodland Care Center, LLC
• World Medical Supply Inc
• Wound & Medical Procedures on-Call N Echeverria NP PC
• Huntington Zong Ru Wu, PPS, APCC
• WV Medical Transporation, Inc
• Paulo Yanez, PSYD
• Steven Zih Ting Yang, DDS
• James Michael Yee, D.D.S.
• Aram Yeliazyan, D.D.S
• Anoush Yessaian, DDS

• Family Nurse Practitioner in Reseda, CA
• Providers in Reseda, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.