Active NPI
Richard Lee Yamasaki, PA
- Medical Physician Assistant
- Fullerton, CA
National Provider Identifier
1689615841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15237
- Practice address
- 101 E Valencia Mesa
Fullerton, CA 92835 - Phone
- (714) 992-3965
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15237 | CA | Primary |
Addresses
Primary practice location
101 E Valencia Mesa
Fullerton, CA 92835
Mailing address
PO Box 5809
Fullerton, CA 92838-0809
Phone (562) 809-3574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA15237 | Medicaid | CA |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15237 | CA | MD | Medical Physician Assistant |
| 15237 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1689615841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5809",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928380809",
"telephone_number": "562-809-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E VALENCIA MESA",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-992-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMASAKI",
"first_name": "RICHARD",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA15237",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.