Allison Emiko Iwamoto, FNP-C, RN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95010444 Issued in CA

Practice address

4617 Freeport Blvd Ste B
Sacramento, CA 95822-2015

Phone

(916) 422-7273

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1386232395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAMOTO",
        "first_name": "ALLISON",
        "middle_name": "EMIKO",
        "credential": "FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95077357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95010444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Griffin Private Practice
• Ivy Ridge Care Inc (Ivy Ridge Assisited Living)
• Vichelle Jhane Ivy
• Ivyarupa Sunkara DDS Inc (Natomas Dental Care)
• Ivyridge Assisted Living
• Satori Iwamoto
• Susan Iwamoto
• Elaine M Iwanski, MFT
• Steven Iway, PHARM. D.
• Naoka S Iwaya

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.