Active NPI
Alan Nagamoto
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1679790281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7774
- Practice address
- UCLA Student Psychological Services
John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-1556 - Phone
- (310) 825-0768
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7774 | CA | Primary |
Addresses
Primary practice location
UCLA Student Psychological Services
John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-1556
Mailing address
UCLA Student Psychological Services
John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-1556
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7774 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1679790281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UCLA STUDENT PSYCHOLOGICAL SERVICES",
"address_2": "JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCLA STUDENT PSYCHOLOGICAL SERVICES",
"address_2": "JOHN WOODEN CENTER WEST 221 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951556",
"telephone_number": "310-825-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAMOTO",
"first_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7774",
"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 Jul 13, 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.