Kiyomi Yamazaki, DDS, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KIYOMI YAMAZAKI, DDS, INC

Doing business as

GARDENA FAMILY DENTAL

Practice address

1143 W Gardena Blvd
Gardena, CA 90247-4823

Phone

(310) 327-9130

Fax

(310) 327-9146

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kiyomi Yamazaki, DDSNPI 1790870236

Title

Ceo

Phone

(310) 327-9130

Specialties & licenses 3

Addresses

Other names 1

• GARDENA FAMILY DENTAL Doing business as

Locations

Practitioners 1

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

• Kiyomi Yamazaki, DDS

  • General Practice Dentistry
  • Gardena, CA
  • NPI 1790870236
  NPD (past) Authorized official

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1487987582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474823",
            "telephone_number": "310-327-9130",
            "fax_number": "310-327-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474823",
            "telephone_number": "310-327-9130",
            "fax_number": "310-327-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYOMI YAMAZAKI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "YAMAZAKI",
        "authorized_official_first_name": "KIYOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-327-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDENA FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damont Lee Kirk
• Jonathan Eliot Kirkland
• Macy Mikaila Kirkwood
• Jared Michael Kirsch, MD
• Summer T. Kishiyama
• Marianne Pesci Klee, PSY.D.
• Katelyn Hope Anderson Klein
• Rory Aran Kleven
• Maria G Klimovitch
• Joliza Klingman, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Gardena, CA
• Providers in Gardena, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.