Active NPI
Craig Yoshio Nakamatsu, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1881880169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56327
- Practice address
- 375 E 2ND St
#621
Los Angeles, CA 90012-4239 - Phone
- (213) 985-0581
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56327 | CA | Primary |
Addresses
Primary practice location
375 E 2ND St
#621
Los Angeles, CA 90012-4239
Mailing address
375 E 2ND St
#621
Los Angeles, CA 90012-4239
Phone (213) 985-0581
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56327 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1881880169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E 2ND ST",
"address_2": "#621",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124239",
"telephone_number": "213-985-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E 2ND ST",
"address_2": "#621",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124239",
"telephone_number": "213-985-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMATSU",
"first_name": "CRAIG",
"middle_name": "YOSHIO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.