Active NPI
Eric John Kamakea, M.P.T.
- Physical Therapy Clinic/Center
- Glendale, CA
National Provider Identifier
1669504684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 29332
- Practice address
- 544 N Glendale Ave
Glendale, CA 91206-3311 - Phone
- (818) 241-9176
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 29332 | CA | Primary |
Addresses
Primary practice location
544 N Glendale Ave
Glendale, CA 91206-3311
Mailing address
380 W Saint Andrews LN
Azusa, CA 91702-1445
Phone (562) 760-2939
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 |
|---|---|---|---|
| 29332 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669504684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 W SAINT ANDREWS LN",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021445",
"telephone_number": "562-760-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063311",
"telephone_number": "818-241-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAKEA",
"first_name": "ERIC",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "29332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- 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.