Individual provider Active NPI

Duston Yoshihara

  • Orthopedic Physical Therapist
  • Irvine, CA
National Provider Identifier
1699442426
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300820 Issued in CA
Practice address
12 Mauchly Ste P
Irvine, CA 92618-6309
Phone
(949) 232-0320
NPI assigned
Aug 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 300820 CA Primary

Addresses

Primary practice location

12 Mauchly Ste P
Irvine, CA 92618-6309

Mailing address

4951 Persimmon LN
Irvine, CA 92612-2814
Phone (949) 246-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929000651 CA Practitioner - Physical Therapist in Private Practice 5799161758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300820CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duston Yoshihara Physical Therapy and Performance PC Current Accepting new patients
Motion Lab Physical Therapy and Performance PC Current Accepting new patients
California Luna Care Physical Therapy PC Orthopedic CurrentSince Apr 25, 2024 Accepting new patients
Behrang Dehkordi MD Inc PastSince Sep 5, 2021 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1699442426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 PERSIMMON LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122814",
            "telephone_number": "949-246-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAUCHLY STE P",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186309",
            "telephone_number": "949-232-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIHARA",
        "first_name": "DUSTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.