Taiji Kawazu, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A26027 Issued in CA

Legal business name

TAIJI KAWAZU, M.D.

Practice address

130 Independence Cir Ste 5
Chico, CA 95973-4918

Phone

(530) 343-0285

Fax

(530) 343-3259

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Taiji Kawazu, M.D.

Title

Director, M.D.

Phone

(530) 343-0285

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780777284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE CIR STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734918",
            "telephone_number": "530-343-0285",
            "fax_number": "530-343-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE CIR STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734918",
            "telephone_number": "530-343-0285",
            "fax_number": "530-343-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAIJI KAWAZU, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAWAZU",
        "authorized_official_first_name": "TAIJI",
        "authorized_official_title_or_position": "DIRECTOR, M.D.",
        "authorized_official_telephone_number": "530-343-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A26027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID NO.",
            "identifier": "A26027",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Chico, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.