Individual provider Active NPI

Ellen Akemi Machikawa, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1902007552
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A60726 Issued in CA
Practice address
573 S Boyle Ave
Los Angeles, CA 90033-3816
Phone
(323) 268-3655
Fax
(323) 268-8610
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A60726 CA Primary

Addresses

Primary practice location

573 S Boyle Ave
Los Angeles, CA 90033-3816

Mailing address

1866 Verde Vista Dr
Monterey Park, CA 91754-2219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000735 CA Practitioner - Psychiatry 7810905734 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savant Care IncGroup PAC ID 8325363989, 8 clinicians

Practice addresses (Care Compare)

4966 El Camino Real
Suite 224
Los Altos, CA 94022-1458
Phone (650) 690-2362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A60726CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Savant Care Inc CurrentSince Jan 31, 2025 Accepting new patients

Locations

4966 El Camino Real
Ste 224
Los Altos, CA 94022
Phone (650) 690-2362

445 S Figueroa St
Fl 31
Los Angeles, CA 90071
Phone (424) 425-1232

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

30211 Avenida de las Bandera
Ste 200
Rancho Santa Margarita, CA 92688
Phone (877) 421-1711

500 Capitol Mall
Ste 2350
Sacramento, CA 95814
Phone (888) 635-6347

580 California St
San Francisco, CA 94104
Phone (415) 215-1766

580 California St
Fl 12
San Francisco, CA 94104

Interoperability endpoints

  • Direct secure messaging: ellen.machikawamdpsy.p1@direct.jwch.nextgenshare.com
  • Direct secure messaging: ellenmachikawa-cityofpasadena@lacsapc.netsmartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1902007552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 VERDE VISTA DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 S BOYLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333816",
            "telephone_number": "323-268-3655",
            "fax_number": "323-268-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIKAWA",
        "first_name": "ELLEN",
        "middle_name": "AKEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A60726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.