NPIMap

Organization Active NPI

Kagawa Kampo Clinic

  • Health Service Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1982077905
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC13774 Issued in CA
Legal business name
KAGAWA KAMPO CLINIC
Practice address
830 Stewart Dr
#108
Sunnyvale, CA 94085
Phone
(408) 647-5439
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Hiromi Kagawa, L.ACNPI 1649580358
Title
President
Phone
(408) 647-5439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC13774 CA Primary

Addresses

Primary practice location

830 Stewart Dr
#108
Sunnyvale, CA 94085

Mailing address

20080 Rodrigues Ave Apt C
Cupertino, CA 95014-3144

National Provider Directory

National Provider Directory

Locations

830 Stewart Dr
#108
Sunnyvale, CA 94085
Phone (408) 647-5439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1982077905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20080 RODRIGUES AVE APT C",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR",
            "address_2": "#108",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94085",
            "telephone_number": "408-647-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGAWA KAMPO CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "KAGAWA",
        "authorized_official_first_name": "HIROMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-647-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.