Individual provider Active NPI

Fumiaki Isshiki

  • Physical Therapist
  • Westminster, CA
National Provider Identifier
1386061810
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41042 Issued in CA
Practice address
6771 Westminster Blvd Ste I
Westminster, CA 92683-8066
Phone
(412) 961-2138
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X 41042 CA
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X 41042 CA
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X 41042 CA
Orthopedic Physical Therapist 2251X0800X 41042 CA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 41042 CA Primary

Addresses

Primary practice location

6771 Westminster Blvd Ste I
Westminster, CA 92683-8066

Mailing address

6771 Westminster Blvd
Ste I
Westminster, CA 92683-8066
Phone (562) 598-5500

Other practice location 1

148 Main St Ste G
Seal Beach, CA 90740-6386
Phone (412) 961-2138

Other names 1

  • Fumiaki Isshiki Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417000483 CA Practitioner - Physical Therapist in Private Practice 8022240472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Main St
Suite G
Seal Beach, CA 90740-6386
Phone (562) 386-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41042CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southbay Los Angeles Physical Therapy Inc Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Global Doctor of Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

148 Main St
Ste G
Seal Beach, CA 90740
Phone (323) 842-0976

6771 Westminster Blvd
Ste I
Westminster, CA 92683
Phone (412) 961-2138

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1386061810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 WESTMINSTER BLVD",
            "address_2": "STE I",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838066",
            "telephone_number": "562-598-5500",
            "fax_number": "562-598-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 WESTMINSTER BLVD STE I",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838066",
            "telephone_number": "412-961-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Main St Ste G",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907406386",
            "country_code": "US",
            "telephone_number": "412-961-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSHIKI",
        "first_name": "FUMIAKI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "41042",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "41042",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "41042",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "41042",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FUMIAKI",
            "last_name": "ISSHIKI",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.