Yuta Wakao

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18167 Issued in CA

Practice address

3505 Camino del Rio S Ste 338
San Diego, CA 92108-4017

Phone

(619) 550-5200

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Inn Spot Community Acupuncture & Stress Relief Lounge

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1053891432
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1609356823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 REFLECTION DR APT 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243118",
            "telephone_number": "619-846-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084017",
            "telephone_number": "619-550-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKAO",
        "first_name": "YUTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Waisman, PH.D.
• Kristina Kay Waite, RD
• Margaret Waithaka
• Hailey Waits
• Glenn Kham Wakam, MD
• Takayo Wakayama
• Maizie Lynn Wakefield
• Michael Dennis Wakefield, PHARM.D
• Billie Wakeham
• Donyele Evyonne Wakelin, CMT

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.