Individual provider Active NPI

Constance Yamaguchi, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1932129251
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G27278 Issued in CA
Practice address
4100 Long Beach Blvd
Suite 108
Long Beach, CA 90807-2696
Phone
(562) 426-3925
Fax
(562) 595-7639
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G27278 CA Primary

Addresses

Primary practice location

4100 Long Beach Blvd
Suite 108
Long Beach, CA 90807-2696

Mailing address

4100 Long Beach Blvd
Suite 108
Long Beach, CA 90807-2696
Phone (562) 426-3925

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G27278CAMDOphthalmology Physician
27278CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew E. Choy, M.D. Medical Corporation Ophthalmology Current Accepting new patients

Locations

4100 Long Beach Blvd
Ste 108
Long Beach, CA 90807
Phone (310) 448-3459

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1932129251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LONG BEACH BLVD",
            "address_2": "SUITE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072696",
            "telephone_number": "562-426-3925",
            "fax_number": "562-595-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LONG BEACH BLVD",
            "address_2": "SUITE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072696",
            "telephone_number": "562-426-3925",
            "fax_number": "562-595-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGUCHI",
        "first_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G27278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.