Active NPI
Johnny Okuyama, DDS
- Dentist
- Newhall, CA
National Provider Identifier
1902015589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D49963
- Practice address
- 23418 Lyons Ave
Newhall, CA 91321-2511 - Phone
- (661) 260-0833
- Fax
- (661) 260-1101
- NPI assigned
- May 21, 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 | D49963 | CA | Primary |
Addresses
Primary practice location
23418 Lyons Ave
Newhall, CA 91321-2511
Mailing address
23418 Lyons Ave
Newhall, CA 91321-2511
Phone (661) 260-0833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D49963 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| D49963 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1902015589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23418 LYONS AVE",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212511",
"telephone_number": "661-260-0833",
"fax_number": "661-260-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23418 LYONS AVE",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212511",
"telephone_number": "661-260-0833",
"fax_number": "661-260-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUYAMA",
"first_name": "JOHNNY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "D49963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D49963",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.