Individual provider Active NPI

Yoshiyuki Shiratori, MS, ATC, CSCS, CKTP

  • Athletic Trainer
  • Oxnard, CA
National Provider Identifier
1790890564
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
4000 S Rose Ave
Oxnard, CA 93033-6699
Phone
(805) 986-5800
Fax
(805) 986-5934
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

4000 S Rose Ave
Oxnard, CA 93033-6699

Mailing address

5813 Etiwanda Ave
Tarzana, CA 91356-2473
Phone (818) 578-3228

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1790890564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 ETIWANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562473",
            "telephone_number": "818-578-3228",
            "fax_number": "805-986-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930336699",
            "telephone_number": "805-986-5800",
            "fax_number": "805-986-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRATORI",
        "first_name": "YOSHIYUKI",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CSCS, CKTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.