Alfred Mitsuru Yamamoto, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G61896 Issued in CA

Practice address

3700 South St
Pathology Dept
Lakewood, CA 90712-1419

Phone

(562) 602-6737

Fax

(562) 602-6896

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of California, Geffen School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score

93.39 of 100Reported as group

Quality

88.62

Improvement activities

40

Cost

77.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Affiliated Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1730119553
  Medicare reassignment Care Compare group
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Soc Pathology Medical Group Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1598081424
  NPD (past)

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

• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1457387417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 E PACIFICA PL",
            "city": "RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902206214",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "address_2": "PATHOLOGY DEPT",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "562-602-6737",
            "fax_number": "562-602-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "ALFRED",
        "middle_name": "MITSURU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G61896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G618960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woosung Ahn, M.D., Inc
• Wtu Fitness and Post Rehabilitation Center
• Hao Wu, D.P.M.
• Hui-Chun Wu
• Katie Mika Yamaguchi
• Sokbunntha Yan, R.D.H.A.P
• Warren Timothy Yan, PA-C
• Seung Mok Yang, LAC
• Shenq Kae Yang, PT
• Kevin Yao, PHARMD

• Anatomic Pathology & Clinical Pathology Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.