Bryan T Imayanagita DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRYAN T IMAYANAGITA DO PC

Practice address

2776 Pacific Ave
Long Beach, CA 90806-2613

Phone

(562) 236-5483

Fax

(714) 276-2148

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Bryan Tadao Imayanagita, DONPI 1245721836

Title

President

Phone

(562) 236-5483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Tadao Imayanagita, DO

  • Student in an Organized Health Care Education/Training Program
  • Long Beach, CA
  • NPI 1245721836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1427721760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST STE 216",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043558",
            "telephone_number": "714-683-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "562-236-5483",
            "fax_number": "714-276-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN T IMAYANAGITA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "IMAYANAGITA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "TADAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-236-5483",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Brumfield
• Sara Brummond
• Jenny Bruner
• Marisa C Brunner, SLPA
• Jim Bruno
• Jesse Bryan-Zwick
• Christine Bryan, RN
• Onissa Antoinette Bryant-Davis, LVN
• Arabia Bryant
• Diana Ruth Bryant, MD

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.