Active NPI
Takuya Toyama
- Athletic Trainer
- Las Cruces, NM
National Provider Identifier
1962968255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-2023-0007
- Practice address
- 1815 Wells St
Las Cruces, NM 88003-8001 - Phone
- (336) 256-1455
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT-2023-0007 | NM | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1815 Wells St
Las Cruces, NM 88003-8001
Mailing address
3901 Sonoma Springs Ave
Apt 1116
Las Cruces, NM 88011
Phone (415) 872-2455
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-2023-0007 | NM | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1962968255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 SONOMA SPRINGS AVE",
"address_2": "APT 1116",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "415-872-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 WELLS ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038001",
"telephone_number": "336-256-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOYAMA",
"first_name": "TAKUYA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "AT-2023-0007",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.