Organization Active NPI

Cheryl M Yokoyama MD PS

  • Ophthalmic Assistant
  • University Place, WA
National Provider Identifier
1811174071
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic AssistantTaxonomy code 156FX1101X
License
MD00024872 Issued in WA
Legal business name
CHERYL M YOKOYAMA MD PS
Practice address
2603 Bridgeport Way W Ste F
University Place, WA 98466-4724
Phone
(253) 564-4073
Fax
(253) 566-0219
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Cheryl M Yokoyama, MD
Title
Doctor
Phone
(253) 564-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1101X MD00024872 WA Primary

Addresses

Primary practice location

2603 Bridgeport Way W Ste F
University Place, WA 98466-4724

Mailing address

PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911

Other identifiers 1

IdentifierTypeStateIssuer
1114420MedicaidWA

National Provider Directory

National Provider Directory

Locations

2603 Bridgeport Way W
University Place, WA 98466
Phone (206) 565-1836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1811174071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BRIDGEPORT WAY W STE F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664724",
            "telephone_number": "253-564-4073",
            "fax_number": "253-566-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL M YOKOYAMA MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "YOKOYAMA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-564-4073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "WA",
            "license": "MD00024872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114420",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.