Individual provider Active NPI

Marc Hokama

  • Physical Therapy Assistant
  • Riverside, CA
National Provider Identifier
1588994164
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT 6023 Issued in CA
Practice address
1760 Chicago Ave Ste J3
Riverside, CA 92507-2358
Phone
(951) 781-2200
Fax
(951) 781-2220
NPI assigned
Jan 5, 2010
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 6023 CA Primary

Addresses

Primary practice location

1760 Chicago Ave Ste J3
Riverside, CA 92507-2358

Mailing address

1760 Chicago Ave Ste J3
Riverside, CA 92507-2358

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

State licenses

LicenseStateTypeSpecialty
AT 6023CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1588994164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CHICAGO AVE STE J3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CHICAGO AVE STE J3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072358",
            "telephone_number": "951-781-2200",
            "fax_number": "951-781-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKAMA",
        "first_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.