Active NPI
Tomoyo Kuriyama, NP
- Nurse Practitioner
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95029028
- Practice address
- 1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085 - Phone
- (678) 604-1000
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN281129 | GA | |
| Nurse Practitioner | 363L00000X | 95029028 | CA | Primary |
Addresses
Primary practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Mailing address
207 Glenn Cir
Decatur, GA 30030-1928
Phone (310) 702-2835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9000
123 Atlantic Ave
Suite B
Long Beach, CA 90802-5121
Phone (562) 209-1569
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN281129 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Inphynet Primary Care Physicians Southeast PC | Nurse Practitioner | Current | Accepting new patients |
| Reddy Urgent Care,Inc | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
123 Atlantic Ave
Ste B
Long Beach, CA 90802
Phone (562) 209-1569
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
4237 Atlantic Ave
Long Beach, CA 90807
Phone (562) 336-1656
4288 Katella Ave
Los Alamitos, CA 90720
Phone (562) 256-8514
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Long Beach, CA
- NPI 1093062473
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
Nurse Practitioner
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Montebello, CA
- NPI 1396971651
-
- Emergency Medicine Physician
- Visalia, CA
- NPI 1558511147
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1497380539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 GLENN CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301928",
"telephone_number": "310-702-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815085",
"telephone_number": "678-604-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIYAMA",
"first_name": "TOMOYO",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN281129",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95029028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.