Individual provider Active NPI

David Masao Hirota, M.D.

  • Internal Medicine Physician
  • Ontario, CA
National Provider Identifier
1699735191
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A065105 Issued in CA
Practice address
3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201
Phone
(909) 566-0445
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A065105 CA Primary

Addresses

Primary practice location

3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201

Mailing address

2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333

Other practice location 1

2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A065105CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
SNF Wound Care Internal Medicine PastSince Oct 27, 2019 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3330 Lomita Blvd
Fl 5
Torrance, CA 90505
Phone (310) 517-4735

Interoperability endpoints

  • Direct secure messaging: dhirota@landmarkhealth-direct.org
  • Direct secure messaging: david.hirota.1@17371.direct.athenahealth.com

Organizations & group practices 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1699735191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062710",
            "telephone_number": "562-426-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CENTRE LAKE DR STE 512",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611201",
            "telephone_number": "909-566-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2699 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062710",
            "country_code": "US",
            "telephone_number": "562-426-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIROTA",
        "first_name": "DAVID",
        "middle_name": "MASAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A065105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.