Active NPI
Toru Kodama, L.A.C.
- Acupuncturist
- Palm Springs, CA
National Provider Identifier
1396909685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12265
- Practice address
- 1900 E Tahquitz Canyon Way
Suite C-1
Palm Springs, CA 92262-7024 - Phone
- (760) 327-3330
- Fax
- (760) 327-3486
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12265 | CA | Primary |
Addresses
Primary practice location
1900 E Tahquitz Canyon Way
Suite C-1
Palm Springs, CA 92262-7024
Mailing address
1900 E Tahquitz Canyon Way
Suite C-1
Palm Springs, CA 92262-7024
Phone (760) 327-3330
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 |
|---|---|---|---|
| 12265 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1396909685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E TAHQUITZ CANYON WAY",
"address_2": "SUITE C-1",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627024",
"telephone_number": "760-327-3330",
"fax_number": "760-327-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E TAHQUITZ CANYON WAY",
"address_2": "SUITE C-1",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627024",
"telephone_number": "760-327-3330",
"fax_number": "760-327-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODAMA",
"first_name": "TORU",
"credential": "L.A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.