Active NPI
Nicole Fujiyama, ND, LAC
- Naturopath
- Torrance, CA
National Provider Identifier
1790021558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 645
- Practice address
- 1110 Crenshan Blvd
Torrance, CA 90501 - Phone
- (714) 913-7909
- NPI assigned
- Dec 26, 2012
- Last updated
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1064 | HI | |
| Acupuncturist | 171100000X | 16349 | CA | |
| Naturopath | 175F00000X | 238 | HI | |
| Naturopath | 175F00000X | 645 | CA | Primary |
Addresses
Primary practice location
1110 Crenshan Blvd
Torrance, CA 90501
Mailing address
1110 Creshan Blvd
Torrance, CA 90501
Other practice location 1
2900 Bristol St
Suite J-106
Costa Mesa, CA 92626-5981
Phone (714) 913-7909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238 | HI | MD | Naturopath |
| 1064 | HI | MD | Family Medicine Physician |
| 16349 | CA | MD | Occupational Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1790021558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 CRESHAN BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 CRENSHAN BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90501",
"telephone_number": "714-913-7909"
}
],
"practiceLocations": [
{
"address_1": "2900 Bristol St",
"address_2": "Suite J-106",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926265981",
"country_code": "US",
"telephone_number": "714-913-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUJIYAMA",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "1064",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16349",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "HI",
"license": "238",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.