Individual provider Active NPI

Masayuki N Utsumi, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1871681965
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0182760 Issued in CA
Practice address
582 Market St
Suite 100
San Francisco, CA 94104-5301
Phone
(415) 544-0700
Fax
(415) 544-0812
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0182760 CA Primary

Addresses

Primary practice location

582 Market St
Suite 100
San Francisco, CA 94104-5301

Mailing address

582 Market St
Suite 100
San Francisco, CA 94104-5301
Phone (415) 544-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0182760CAMDChiropractor
18276CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1871681965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST",
            "address_2": "SUITE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045301",
            "telephone_number": "415-544-0700",
            "fax_number": "415-544-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST",
            "address_2": "SUITE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045301",
            "telephone_number": "415-544-0700",
            "fax_number": "415-544-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTSUMI",
        "first_name": "MASAYUKI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0182760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.