Individual provider Active NPI

Shigeki Fujitani, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Culver City, CA
National Provider Identifier
1497844864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
A89432 Issued in CA
Practice address
6170 Canterbury Dr
Apt 222
Culver City, CA 90230-7929
Phone
(310) 268-3015
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X A89432 CA Primary

Addresses

Primary practice location

6170 Canterbury Dr
Apt 222
Culver City, CA 90230-7929

Mailing address

6170 Canterbury Dr
Apt 222
Culver City, CA 90230-7929
Phone (310) 268-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89432CAMDAdolescent Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497844864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 CANTERBURY DR",
            "address_2": "APT 222",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307929",
            "telephone_number": "310-268-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 CANTERBURY DR",
            "address_2": "APT 222",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307929",
            "telephone_number": "310-268-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJITANI",
        "first_name": "SHIGEKI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A89432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.