Individual provider Active NPI

Jairo Shigueru Kajimoto, AP

  • Acupuncturist
  • Tampa, FL
National Provider Identifier
1356818140
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3227 Issued in FL
Practice address
2901 W Saint Isabel St Ste F
Tampa, FL 33607-6371
Phone
(813) 935-4744
Fax
(813) 931-1427
NPI assigned
Oct 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3227 FL Primary

Addresses

Primary practice location

2901 W Saint Isabel St Ste F
Tampa, FL 33607-6371

Mailing address

2901 W Saint Isabel St Ste F
Tampa, FL 33607-6371
Phone (813) 935-4744

Other practice location 1

1602 W Sligh Ave Ste 500
Tampa, FL 33604-5894
Phone (813) 935-4744

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

LicenseStateTypeSpecialty
AP3227FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mar Primary Care LLC CurrentSince Sep 5, 2021 Accepting new patients
Mar Primary Care LLC CurrentSince Jan 10, 2021 Accepting new patients

Locations

1602 W Sligh Ave
Ste 500
Tampa, FL 33604
Phone (813) 935-4744

2901 W Saint Isabel St
Ste F
Tampa, FL 33607
Phone (813) 935-4744

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19044/brand/3/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1356818140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W SAINT ISABEL ST STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076371",
            "telephone_number": "813-935-4744",
            "fax_number": "813-931-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SAINT ISABEL ST STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076371",
            "telephone_number": "813-935-4744",
            "fax_number": "813-931-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 W Sligh Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336045894",
            "country_code": "US",
            "telephone_number": "813-935-4744",
            "fax_number": "813-931-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAJIMOTO",
        "first_name": "JAIRO",
        "middle_name": "SHIGUERU",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.