Active NPI
David Ken Yamada, M.D.
- Family Medicine Physician
- Simi Valley, CA
National Provider Identifier
1861587131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G59560
- Practice address
- 2750 Sycamore Drive
Suite 202
Simi Valley, CA 93065-1500 - Phone
- (805) 527-9140
- Fax
- (805) 527-0783
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G59560 | CA | Primary |
Addresses
Primary practice location
2750 Sycamore Drive
Suite 202
Simi Valley, CA 93065-1500
Mailing address
2750 Sycamore Drive
Suite 202
Simi Valley, CA 93065-1500
Phone (805) 527-9140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0065680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59560 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1861587131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 SYCAMORE DRIVE",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651500",
"telephone_number": "805-527-9140",
"fax_number": "805-527-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 SYCAMORE DRIVE",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651500",
"telephone_number": "805-527-9140",
"fax_number": "805-527-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "DAVID",
"middle_name": "KEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G59560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0065680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.