Active NPI
Rachel Gail Nishiyama
- Physical Therapist
- Irvine, CA
National Provider Identifier
1639448996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38492
- Practice address
- 4482 Barranca Pkwy Ste 195
Irvine, CA 92604-4706 - Phone
- (949) 679-3337
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38492 | CA | Primary |
Addresses
Primary practice location
4482 Barranca Pkwy Ste 195
Irvine, CA 92604-4706
Mailing address
510 Wycliffe
Irvine, CA 92602-1213
Phone (925) 989-6447
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38492 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1639448996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 WYCLIFFE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021213",
"telephone_number": "925-989-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4482 BARRANCA PKWY STE 195",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044706",
"telephone_number": "949-679-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIYAMA",
"first_name": "RACHEL",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.