Organization Active NPI

Brian H. Itagaki M.D., Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1912190836
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G37936 Issued in CA
Legal business name
BRIAN H. ITAGAKI M.D., INC.
Practice address
420 E 3Rd St
Suite 704
Los Angeles, CA 90013-1644
Phone
(213) 629-1057
Fax
(213) 680-2010
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Brian Hiro Itagaki, M.D.NPI 1740398023
Title
President
Phone
(213) 629-1057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G37936 CA Primary

Addresses

Primary practice location

420 E 3Rd St
Suite 704
Los Angeles, CA 90013-1644

Mailing address

420 E 3Rd St
Suite 704
Los Angeles, CA 90013-1644
Phone (213) 629-1057

National Provider Directory

National Provider Directory

Locations

420 E 3rd St
Ste 704
Los Angeles, CA 90013
Phone (213) 629-1057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1912190836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 704",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-629-1057",
            "fax_number": "213-680-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 704",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-629-1057",
            "fax_number": "213-680-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN H. ITAGAKI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "ITAGAKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-629-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G37936",
            "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 Aug 23, 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.

Verify at the official NPI Registry.