Wayne Ichiro Yamahata, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G40161 Issued in CA

Practice address

95 Scripps Dr
Sacramento, CA 95825-6320

Phone

(916) 929-1833

Fax

(916) 929-6730

NPI assigned

Nov 21, 2006

Sex

Male

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sacramento Plastic & Reconstructive Surgery Medical Group Inc

  • Plastic and Reconstructive Surgery Physician
  • Sacramento, CA
  • NPI 1487854600
  Medicare reassignment
• Granite Bay Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Roseville, CA
  • NPI 1245774611
  NPD
• The Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
  • NPI 1134291073
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1942375233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SCRIPPS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256320",
            "telephone_number": "916-929-1833",
            "fax_number": "916-929-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SCRIPPS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256320",
            "telephone_number": "916-929-1833",
            "fax_number": "916-929-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAHATA",
        "first_name": "WAYNE",
        "middle_name": "ICHIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G40161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Yamada, MD
• Gary S. Yamada, O.D.
• Jill Midori Yamada, O.D,
• Mark Yamada
• Asmaneh Yamagata, M.D.
• Teri Lee Yamaichi
• Joy Arlene Yamaki, PSY.D
• Alvin J. Yamamoto, M.D.
• Corey Yamamoto
• Karisa Yamamoto, DDS

• Plastic Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.