James Sadao Hamada, MD
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Hawaiian Gardens, CA
NPI 1508053141 · NPPES record last updated Dec 31, 2014
Key facts
- NPI
- 1508053141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- C30470 (CA)
- Practice address
- 21500 Pioneer Blvd
Suite 208
Hawaiian Gardens, CA 90716-2600 - Phone
- (310) 543-1391
- Fax
- (310) 540-2344
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000363 | CA | Practitioner - Orthopedic Surgery | 7810066859 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30470 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| C30470 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- jhamada38111@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | C30470 | CA | Yes |
Addresses
Primary practice location
21500 Pioneer Blvd
Suite 208
Hawaiian Gardens, CA 90716-2600
Mailing address
21500 Pioneer Blvd
Suite 208
Hawaiian Gardens, CA 90716-2600
Phone (310) 543-1391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14084 | Other | MEDICARE GROUP PROVIDER N | |
| 00C304700 | Medicaid | CA | |
| W14084A | Other | MEDICARE GROUP PROVIDER N |
Other providers in Hawaiian Gardens, CA
- Good Morning Acupuncture, Inc.
- Luis Enrique Graciano
- Juan Jose Gutierrez
- Nancy Gutierrez
- Shalom Eunique Hall
- Jong Chul Han
- Hawaiian Gardens Dialysis Center LLC
- Hawaiian Gardens Walk-in Urgent Care
- Chang Heo
- Patrick J Heppell
All providers in Hawaiian Gardens, CA · Orthopaedic Surgery of the Spine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.