Mamiko Yamazato, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS22031 Issued in CA

Practice address

5152 Katella Ave Ste 205
Los Alamitos, CA 90720-2846

Phone

(714) 299-4033

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment NPD
• Nuhope Mind & Body Wellness

  • Health Service Clinic/Center
  • Los Alamitos, CA
  • NPI 1891676565
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1912934399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15235",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908150235",
            "telephone_number": "714-299-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 KATELLA AVE STE 205",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202846",
            "telephone_number": "714-299-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAZATO",
        "first_name": "MAMIKO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS22031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry H Wu, M.D.
• Stephanie Wu
• Tanzhen J. Wu, M.D.
• Wu'S Anesthesia P a Services, Inc.
• Yamanaka and Ogata, OD, Inc.
• Yamin Shwe, MD Medical Corporation
• Tao Yang, MD
• Yanqin Lou M.D. a Medical Corporation
• Amanda Keiko Yee
• Arlene Michiko Yee, LCSW

• Social Worker in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.