Individual provider Active NPI

Nancy Itsuyo Okamoto, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1508082645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
191280 Issued in CA
Practice address
50 Phelan Ave
Health Center 100
San Francisco, CA 94112-1821
Phone
(415) 239-3192
Fax
(415) 239-3193
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

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
Nurse Practitioner 363L00000X 191280 CA Primary

Addresses

Primary practice location

50 Phelan Ave
Health Center 100
San Francisco, CA 94112-1821

Mailing address

1432 Hubbard Ave
San Leandro, CA 94579-1316
Phone (510) 352-6586

Other names 1

  • Ms. Itsuyo Nancy Okamoto Other name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
191280CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508082645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 HUBBARD AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791316",
            "telephone_number": "510-352-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "address_2": "HEALTH CENTER 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-239-3192",
            "fax_number": "415-239-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "NANCY",
        "middle_name": "ITSUYO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "191280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITSUYO",
            "last_name": "OKAMOTO",
            "middle_name": "NANCY",
            "prefix": "MS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, 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.