George Etsuro Nakashima, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

G41390 Issued in CA

Practice address

420 E 3Rd Street
Suite 803
Los Angeles, CA 90013-1646

Phone

(213) 617-7073

Fax

(213) 617-3132

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Nikkei Pediatric Medical Group Inc

  • Pediatric Adolescent Medicine Physician
  • Los Angeles, CA
  • NPI 1316030968
  NPD (past) Authorized official
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376637801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD STREET",
            "address_2": "SUITE 803",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131646",
            "telephone_number": "213-617-7073",
            "fax_number": "213-617-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD STREET",
            "address_2": "SUITE 803",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131646",
            "telephone_number": "213-617-7073",
            "fax_number": "213-617-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASHIMA",
        "first_name": "GEORGE",
        "middle_name": "ETSURO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G41390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumalee Nakarangkul, FNP
• Manando Nakasaki
• Kelsey Nakashige, MPH, MA
• Ali Nakashima
• Brandon John Nakashima
• Elizabeth S Nakasone, M.D., PH.D.
• Gissella Nakasone, CCC-SLP
• Cindy C Nakasuji, NP
• Cheryl Noriko Nakata, RDH
• Larrianni Nakata

• Pediatric Adolescent Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.