NPIMap

Organization Active NPI

Todd H. Yamada, D.D.S., Inc.

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1669685384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
37521 Issued in CA
Legal business name
TODD H. YAMADA, D.D.S., INC.
Practice address
11340 W Olympic Blvd
#360
Los Angeles, CA 90064-1608
Phone
(310) 473-2727
Fax
(310) 473-2141
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Hiroshi Yamada, D.D.S.
Title
Owner
Phone
(310) 473-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 37521 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd
#360
Los Angeles, CA 90064-1608

Mailing address

11340 W Olympic Blvd
#360
Los Angeles, CA 90064-1608
Phone (310) 473-2727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669685384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "#360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-473-2727",
            "fax_number": "310-473-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "#360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-473-2727",
            "fax_number": "310-473-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD H. YAMADA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HIROSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-473-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.