Yusuke Hamada, D.D.S, M.S.D,

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

108114 Issued in CA

Practice address

10833 Le Conte Ave
Los Angeles, CA 90095-5211

Phone

(310) 825-5543

NPI assigned

Aug 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1609242411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE # 63-022A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "317-874-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955211",
            "telephone_number": "310-825-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADA",
        "first_name": "YUSUKE",
        "credential": "D.D.S, M.S.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-16",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "108114",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12012407A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundo Ham, DENTIST
• Hama Acu Corp (Kyung Hee Acupuncture Clinic)
• Brianne Hama, DDS
• April Naomi Hamachi
• Hanan Hamad, AUD
• Ali Hamadani, D.O.
• Bashir Hamadani
• Farti Hamamjian, PHARMD
• Roy Shogo Hamamoto, PA
• Hassan Wadie Hamandi, M.D.

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.