Active NPI
David Hiroshi Hirohama, PH.D.
- Clinical Psychologist
- Cerritos, CA
National Provider Identifier
1881912871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23514
- Practice address
- 17215 Studebaker Rd Ste 110
Cerritos, CA 90703-2521 - Phone
- (562) 860-2210
- Fax
- (562) 860-1160
- NPI assigned
- May 14, 2010
- Last updated
- May 14, 2010
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 23514 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | 23514 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 23514 | CA | |
| Clinical Psychologist | 103TC0700X | 23514 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 23514 | CA | |
| Family Psychologist | 103TF0000X | 23514 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 23514 | CA |
Addresses
Primary practice location
17215 Studebaker Rd Ste 110
Cerritos, CA 90703-2521
Mailing address
1069 Sheffield PL
Glendora, CA 91741-6621
Phone (310) 383-3482
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1881912871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1069 SHEFFIELD PL",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917416621",
"telephone_number": "310-383-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17215 STUDEBAKER RD STE 110",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032521",
"telephone_number": "562-860-2210",
"fax_number": "562-860-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIROHAMA",
"first_name": "DAVID",
"middle_name": "HIROSHI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-14",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "23514",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "23514",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "23514",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23514",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "23514",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "23514",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "23514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.