Individual provider Active NPI

Hiroshi M. Sasaki, PHD

  • Psychologist
  • Long Beach, CA
National Provider Identifier
1902920481
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24153 Issued in CA
Practice address
110 W Ocean Blvd
Suite 18
Long Beach, CA 90802-4605
Phone
(562) 999-1555
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY24153 CA Primary

Addresses

Primary practice location

110 W Ocean Blvd
Suite 18
Long Beach, CA 90802-4605

Mailing address

3470 Trousdale Pkwy
WPH 1005
Los Angeles, CA 90089-4036
Phone (562) 756-6211

Other names 1

  • Dr. Hiro M. Sasaki Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000647 CA Practitioner - Clinical Psychologist 9335306463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Associated Therapists IncGroup PAC ID 8921279068, 4 clinicians

Practice addresses (Care Compare)

5762 Bolsa Ave
Huntington Beach, CA 92649-1172
Phone (714) 898-0362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY24153CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiranet Past Accepting new patients
Autism 360 Support LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1902920481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 TROUSDALE PKWY",
            "address_2": "WPH 1005",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900894036",
            "telephone_number": "562-756-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD",
            "address_2": "SUITE 18",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024605",
            "telephone_number": "562-999-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "HIROSHI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIRO",
            "last_name": "SASAKI",
            "middle_name": "M.",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.