Active NPI
George Masaji Nakama, PHD
- Mental Health Counselor
- Union City, CA
National Provider Identifier
1972667905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW 12779
- Practice address
- 4453 Cabello St
Union City, CA 94587-3928 - Phone
- (510) 487-5621
- Fax
- (510) 489-0249
- NPI assigned
- Dec 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW 12779 | CA | Primary |
Addresses
Primary practice location
4453 Cabello St
Union City, CA 94587-3928
Mailing address
4453 Cabello St
Union City, CA 94587-3928
Phone (510) 487-5621
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 12779 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972667905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4453 CABELLO ST",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873928",
"telephone_number": "510-487-5621",
"fax_number": "510-489-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4453 CABELLO ST",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873928",
"telephone_number": "510-487-5621",
"fax_number": "510-489-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMA",
"first_name": "GEORGE",
"middle_name": "MASAJI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW 12779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.