Tomotaka Kaguma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2017 E 4TH St
Long Beach, CA 90814-1001

Phone

(562) 434-4455

NPI assigned

Mar 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One in Long Beach, Inc.

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1528199643
  NPD
• One in Long Beach, Inc.

  • Rehabilitation Practitioner
  • Long Beach, CA
  • NPI 1730504531
  NPD (past)

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1801597166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141001",
            "telephone_number": "562-434-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141001",
            "telephone_number": "562-434-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGUMA",
        "first_name": "TOMOTAKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meena Kadapakkam, M.D.
• Kadiant
• Katherine Kadrlik-Petrarca
• Milo Daniel Kadrlik-Petrarca
• Felicity Kagiri, PMHNP-BC
• Alia Kahn, ASW
• Brian Kahn
• Kailash Dhamija Walk in Medical Care a Medical Corporation
• Craig D Kain, PHD
• Kaiser Foundation Health Plan Inc

• All providers in Long Beach, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.