Individual provider Active NPI

Tomoyo Kuriyama, NP

  • Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1497380539
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95029028 Issued in CA
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

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601002663 GA Practitioner - Nurse Practitioner 2567883457 Reassigns benefits to 1 organization
I20240419001327 CA Practitioner - Nurse Practitioner 2567883457 Reassigns benefits to 3 organizations

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 - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Reddy Urgent Care IncGroup PAC ID 4284884982, 14 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281129GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 1, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Inphynet Primary Care Physicians Southeast PC Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Reddy Urgent Care,Inc CurrentSince Mar 26, 2024 Accepting new patients
Cep America-California CurrentSince Apr 1, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Apr 1, 2024 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.

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

Verify at the official NPI Registry.