Susan Kaoru Yamamoto, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

276172 Issued in CA

Practice address

311 E Winston Street
La Mission Community Clinic
Los Angeles, CA 90013

Phone

(213) 893-1960

Fax

(213) 893-1962

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Susan Kaoru Baba Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881782209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ELECTRIC AVE",
            "address_2": "1",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-281-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E WINSTON STREET",
            "address_2": "LA MISSION COMMUNITY CLINIC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013",
            "telephone_number": "213-893-1960",
            "fax_number": "213-893-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "SUSAN",
        "middle_name": "KAORU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "276172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70948F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC",
            "identifier": "EAP70948F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BABA",
            "middle_name": "KAORU",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimi Yamamoto
• Kumiko Yamamoto, DAOM, L.AC,DIPL.O.M.
• Margaret Yamamoto, DPT
• Raven Yamamoto
• Susan K Yamamoto
• Yuka Yamamoto
• Hiromi Yamamura
• Lorraine M. Yamamura, PH.D.
• Osama Yamani
• Jessie Rei Yamasaki-Sanders, L.AC., DATM

• Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.