Individual provider Active NPI

Robert Yamasaki, D.D.S.

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1376728519
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14097 Issued in CA
Practice address
15300 S Western Ave
Gardena, CA 90249-4317
Phone
(310) 327-9676
Fax
(310) 327-9679
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14097 CA Primary

Addresses

Primary practice location

15300 S Western Ave
Gardena, CA 90249-4317

Mailing address

15300 S Western Ave
Gardena, CA 90249-4317
Phone (310) 327-9676

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1376728519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494317",
            "telephone_number": "310-327-9676",
            "fax_number": "310-327-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494317",
            "telephone_number": "310-327-9676",
            "fax_number": "310-327-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASAKI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "14097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.