Individual provider Active NPI

Michael Kazuo Yanagita, D.C., L.AC.

  • Acupuncturist
  • Glendale, CA
National Provider Identifier
1952433989
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 6680 Issued in CA
Practice address
1640 Santa Barbara Ave
Glendale, CA 91208-2021
Phone
(181) 846-8793
Fax
(818) 506-7674
NPI assigned
Mar 13, 2007
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 15443 CA
Acupuncturist 171100000X AC 6680 CA Primary

Addresses

Primary practice location

1640 Santa Barbara Ave
Glendale, CA 91208-2021

Mailing address

1640 Santa Barbara Ave.
Glendale, CA 91208-2341
Phone (818) 468-7934

Other identifiers 1

IdentifierTypeStateIssuer
DC15443OtherCAOTHER INSURANCE CO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000833 CA Practitioner - Chiropractic 2264618065 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2032 Thompson CT
Suite 9
Montrose, CA 91020-1652
Phone (818) 468-7934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 15443CAMDChiropractor
15443CAMDOptometrist
AC 6680CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1952433989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SANTA BARBARA AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082341",
            "telephone_number": "818-468-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SANTA BARBARA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082021",
            "telephone_number": "181-846-8793",
            "fax_number": "818-506-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGITA",
        "first_name": "MICHAEL",
        "middle_name": "KAZUO",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 15443",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 6680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE CO.",
            "identifier": "DC15443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.