Individual provider Active NPI

Aki Corinne Tsuchiya

  • General Practice Dentistry
  • Indio, CA
National Provider Identifier
1659007771
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107679 Issued in CA
Practice address
82013 Doctor Carreon Blvd
Indio, CA 92201-4832
Phone
(408) 402-2623
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107679 CA Primary

Addresses

Primary practice location

82013 Doctor Carreon Blvd
Indio, CA 92201-4832

Mailing address

11222 Sunkist Dr
Loma Linda, CA 92354-6569
Phone (408) 402-2623

Other names 1

  • Aki Corinne Tsuchiya Professional name

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

LicenseStateTypeSpecialty
107679CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1659007771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 SUNKIST DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546569",
            "telephone_number": "408-402-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DOCTOR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014832",
            "telephone_number": "408-402-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUCHIYA",
        "first_name": "AKI",
        "middle_name": "CORINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKI",
            "last_name": "TSUCHIYA",
            "middle_name": "CORINNE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.