Active NPI
Mikako Mashimo
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1902114127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8616 La Tijera Blvd.
Suite 200
Los Angeles, CA 90045 - Phone
- (310) 337-1550
- Fax
- (310) 337-2805
- NPI assigned
- Sep 22, 2010
- Last updated
- Sep 22, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
8616 La Tijera Blvd.
Suite 200
Los Angeles, CA 90045
Mailing address
8616 La Tijera Blvd.
Suite 200 Pacific Asian Counseling Services
Los Angeles, CA 90045
Phone (310) 337-1550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1902114127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 LA TIJERA BLVD.",
"address_2": "SUITE 200 PACIFIC ASIAN COUNSELING SERVICES",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "310-337-1550",
"fax_number": "310-337-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 LA TIJERA BLVD.",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "310-337-1550",
"fax_number": "310-337-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHIMO",
"first_name": "MIKAKO",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"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 Sep 22, 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.