Active NPI
Yasuyuki Kasayama, D.P.T.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1891811485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26446
- Practice address
- 3301 S Hoover Ave
Los Angeles, CA 90089-0001 - Phone
- (213) 740-0215
- Fax
- (213) 821-1499
- NPI assigned
- Mar 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26446 | CA | Primary |
Addresses
Primary practice location
3301 S Hoover Ave
Los Angeles, CA 90089-0001
Mailing address
1640 Marengo St
#102
Los Angeles, CA 90033-1036
Phone (213) 740-0215
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 |
|---|---|---|---|
| PT26446 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Past | Accepting new patients | |
| Usc Care Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891811485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 MARENGO ST",
"address_2": "#102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331036",
"telephone_number": "213-740-0215",
"fax_number": "213-821-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 S HOOVER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890001",
"telephone_number": "213-740-0215",
"fax_number": "213-821-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASAYAMA",
"first_name": "YASUYUKI",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26446",
"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 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.