Lisa Sugimori, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102962 Issued in CA

Practice address

23441 Madison St Ste 150
Torrance, CA 90505-4756

Phone

(310) 373-2960

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Sugimori Dental Corporation

  • Dentist
  • Torrance, CA
  • NPI 1235058678
  NPD (past) Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1831677541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 150",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 MADISON ST STE 150",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054756",
            "telephone_number": "310-373-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIMORI",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yveta Suchomel, L.AC.
• Salma Annisa Sudarmadji, OTR/L
• Darryl Sue, M.D.
• Jordan Alexander Sugarman, MD
• Sugimori Dental Corporation
• Toshifumi Sugimori, D.D.S.
• Ikuko Sugimoto, O.D.
• Konosuke Sugiura, L.AC.
• Meari Sugiyama
• Nami Sugiyama, L.A.C

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.