Organization Active NPI

Sakaye Shigekawa M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1891764304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A09493 Issued in CA
Legal business name
SAKAYE SHIGEKAWA M.D.
Practice address
1511 N Benton Way
Los Angeles, CA 90026-2218
Phone
(213) 413-3115
Fax
(310) 545-0871
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sakaye Shigekawa, M.D.
Title
Owner
Phone
(213) 413-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X A09493 CA Primary

Addresses

Primary practice location

1511 N Benton Way
Los Angeles, CA 90026-2218

Mailing address

1511 N Benton Way
Los Angeles, CA 90026-2218
Phone (213) 413-3115

Other identifiers 1

IdentifierTypeStateIssuer
00A094930MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891764304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 N BENTON WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262218",
            "telephone_number": "213-413-3115",
            "fax_number": "310-545-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 N BENTON WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262218",
            "telephone_number": "213-413-3115",
            "fax_number": "310-545-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKAYE SHIGEKAWA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIGEKAWA",
        "authorized_official_first_name": "SAKAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-413-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A09493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A094930",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.