Shuichi Yanagidaira

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95026537 Issued in CA

Practice address

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511

Phone

(310) 532-4200

NPI assigned

Sep 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redondo Emergency Physicians IncGroup PAC ID 9032388269, 13 clinicians

Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exer Medical Corporation

  dba Exer Urgent Care

  • Urgent Care Clinic/Center
  • Calabasas, CA
  • NPI 1588901532
  Medicare reassignment Care Compare group NPD
• Redondo Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Gardena, CA
  • NPI 1376834937
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gardena Hospital LP

  dba Memorial Hospital of Gardena

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005
  Care Compare affiliation

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1437936432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29296 POINT SHORE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307277",
            "telephone_number": "310-528-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473511",
            "telephone_number": "310-532-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGIDAIRA",
        "first_name": "SHUICHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95026537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Yasunori Yamashiro, DDS
• Bryce Kiyoshi Yamauchi, DPM
• Kiyomi Yamazaki, DDS
• Yan Yampolsky, DMD
• Andrew Jancy Yan
• Eunho Yang, L.AC
• Jina Ko Yang, NP
• Jingzhu Yang
• Yi Yang
• Mina Yanny

• Family Medicine Physician in Gardena, CA
• Providers in Gardena, 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 Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.