Active NPI
Anton Yanagisawa
- Marriage & Family Therapist
- Lynwood, CA
National Provider Identifier
1740410208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2640 Industry Way Ste G
Lynwood, CA 90262-4000 - Phone
- (310) 631-9763
- NPI assigned
- Jul 19, 2009
- Last updated
- Mar 2, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2640 Industry Way Ste G
Lynwood, CA 90262-4000
Mailing address
4221 Wilshire Blvd Ste 290-26
Los Angeles, CA 90010-3540
Phone (213) 505-4307
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundance Psychotherapy Center Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Project Impact Inc. | Past | Accepting new patients | |
| Project Impact Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Abundance Therapy Center
- Clinical Social Worker
- Los Angeles, CA
- NPI 1205335445
Marriage & Family Therapist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynwood, CA
- NPI 1285330407
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1801092952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1740410208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 WILSHIRE BLVD STE 290-26",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103540",
"telephone_number": "213-505-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY STE G",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624000",
"telephone_number": "310-631-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAGISAWA",
"first_name": "ANTON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-19",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.