Individual provider Active NPI

Ronald J Fujimoto, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Gatos, CA
National Provider Identifier
1811089402
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A6174 Issued in CA
Practice address
13980 Blossom Hill Rd Ste D
Los Gatos, CA 95032-5121
Phone
(408) 445-8400
Fax
(408) 445-0875
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A6174 CA Primary

Addresses

Primary practice location

13980 Blossom Hill Rd Ste D
Los Gatos, CA 95032-5121

Mailing address

13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032-5121
Phone (408) 445-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715001142 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4385670736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6174CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1811089402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 BLOSSOM HILL RD",
            "address_2": "STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325121",
            "telephone_number": "408-445-8400",
            "fax_number": "408-445-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 BLOSSOM HILL RD STE D",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325121",
            "telephone_number": "408-445-8400",
            "fax_number": "408-445-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.