Active NPI
Brent Tatsuo Yamamoto
- Pharmacist
- Caruthers, CA
National Provider Identifier
1598022071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76665
- Practice address
- 13702 S Cherry Ave
Caruthers, CA 93609-9724 - Phone
- (559) 284-0629
- NPI assigned
- Apr 20, 2012
- Last updated
- Nov 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IR 60221945 | WA | |
| Pharmacist | 183500000X | 76665 | CA | Primary |
Addresses
Primary practice location
13702 S Cherry Ave
Caruthers, CA 93609-9724
Mailing address
13702 S Cherry Ave
Caruthers, CA 93609-9724
Phone (559) 284-0629
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76665 | CA | MD | Pharmacist |
| IR 60221945 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1598022071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13702 S CHERRY AVE",
"city": "CARUTHERS",
"state": "CA",
"postal_code": "936099724",
"telephone_number": "559-284-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13702 S CHERRY AVE",
"city": "CARUTHERS",
"state": "CA",
"postal_code": "936099724",
"telephone_number": "559-284-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "BRENT",
"middle_name": "TATSUO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR 60221945",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caruthers, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.