Active NPI
Craig Kojima, PTA
- Physical Therapy Assistant
- Long Beach, CA
National Provider Identifier
1386980332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9340
- Practice address
- 330 Golden SHR Ste 250
Long Beach, CA 90802-4270 - Phone
- (562) 256-7550
- Fax
- (562) 256-7550
- NPI assigned
- Dec 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9340 | CA | Primary |
Addresses
Primary practice location
330 Golden SHR Ste 250
Long Beach, CA 90802-4270
Mailing address
330 Golden SHR Ste 250
Long Beach, CA 90802-4270
Phone (562) 256-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9340 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9340 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1386980332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 GOLDEN SHR STE 250",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024270",
"telephone_number": "562-256-7550",
"fax_number": "562-256-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 GOLDEN SHR STE 250",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024270",
"telephone_number": "562-256-7550",
"fax_number": "562-256-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOJIMA",
"first_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "9340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.