Atsushi Fujimura, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS102773 Issued in CA

Practice address

6431 Fairmount Ave Ste 2
El Cerrito, CA 94530-3624

Phone

(510) 524-0600

NPI assigned

Feb 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1912320482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND AVE APT 2303",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123090",
            "telephone_number": "858-242-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FAIRMOUNT AVE STE 2",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303624",
            "telephone_number": "510-524-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMURA",
        "first_name": "ATSUSHI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS102773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Philip Free, ACA, BC-HIS
• Ellen Sue Friedman, MFT
• Julie Fritz
• Jennifer M Fu, M.D.
• Kenneth T Fujii, D.P.T.
• Reginald Fulford, DDS, MS
• Gerald John Garrels II, O.D.
• Makda Gebrehiwet, PHARMD
• Xiao Qing Geng, L.A.C
• Angela C. George, FNP-BC

• Endodontics in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.