Individual provider Active NPI

Richard Eiichi Ojima, M.D.

  • General Practice Physician
  • Fife, WA
National Provider Identifier
1710085220
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD61074997 Issued in WA
Practice address
4703 Pacific Hwy E Ste a
Fife, WA 98424-2620
Phone
(253) 922-9570
Fax
(253) 922-9587
NPI assigned
Sep 20, 2006
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A88667 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD61074997 WA Primary

Addresses

Primary practice location

4703 Pacific Hwy E Ste a
Fife, WA 98424-2620

Mailing address

PO Box 65622
Tacoma, WA 98464-1622
Phone (253) 922-9570

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88667CAMDGeneral Practice Physician
MD61074997WAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1710085220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65622",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984641622",
            "telephone_number": "253-922-9570",
            "fax_number": "253-922-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 PACIFIC HWY E STE A",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242620",
            "telephone_number": "253-922-9570",
            "fax_number": "253-922-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIMA",
        "first_name": "RICHARD",
        "middle_name": "EIICHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A88667",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD61074997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.