Individual provider Active NPI

Peter M Yukawa, CPO, LPO

  • Specialist
  • Seattle, WA
National Provider Identifier
1366602732
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OI00000320 Issued in WA
Practice address
4800 Sand Point Way NE
W4657
Seattle, WA 98105-3901
Phone
(206) 386-6100
Fax
(206) 386-6332
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OI00000320 WA Primary
Specialist 174400000X PS00000340 WA

Addresses

Primary practice location

4800 Sand Point Way NE
W4657
Seattle, WA 98105-3901

Mailing address

PO Box 5371
W4657
Seattle, WA 98105-0371

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
OI00000320WAMDSpecialist
PS00000340WAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: pyukawa1120@direct.seattlechildrens.org

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1366602732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5371",
            "address_2": "W4657",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981050371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "W4657",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-386-6100",
            "fax_number": "206-386-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUKAWA",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OI00000320",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PS00000340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.