Bruce K Akinaka, PT, ATC, HEALTH CERT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT10876 Issued in CA

Practice address

3105 Cedar Ravine Rd Ste 201
Placerville, CA 95667-6561

Phone

(530) 626-2770

Fax

(530) 622-7143

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619065414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 CAYENTE WAY",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828879",
            "telephone_number": "530-677-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD STE 201",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "530-626-2770",
            "fax_number": "530-622-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINAKA",
        "first_name": "BRUCE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT, ATC, HEALTH CERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT10876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT10876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonella Aguilera-Ruiz, ND
• Patrizia Ahlers, MA, LMFT
• Shana Aidnik
• Crista Jane Aivaliotis I
• Ketan P Ajudia, M.D.
• Raniah Al Bayati
• Jessica H Albin, CADC-II
• Monic Alcorn
• Alex Keith, DMD, Dental Corporation (One Loose Tooth, Dental practice of Dr. Alex Keith)
• Joe Alfeghaly

• Specialist in Placerville, CA
• Providers in Placerville, CA by specialty
• Specialist in California

• 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.