Active NPI
Warren Toshiro Yamashita, MD, MPH
- Addiction Medicine (Family Medicine) Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- A167101
- Practice address
- 1 Hope Dr
Tustin, CA 92782-0221 - Phone
- (714) 247-0300
- Fax
- (714) 259-1598
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | A167101 | CA | Primary |
Addresses
Primary practice location
1 Hope Dr
Tustin, CA 92782-0221
Mailing address
14642 Newport Ave Ste 300
Tustin, CA 92780-6059
Phone (714) 247-0300
Other practice location 1
947 S Anaheim Blvd Ste 260
Anaheim, CA 92805-5591
Phone (714) 247-0300
Other practice location 2
1100B N Tustin Ave Ste A
Santa Ana, CA 92705-3505
Phone (714) 247-0300
Other practice location 3
14642 Newport Ave Ste 200
Tustin, CA 92780-6058
Phone (714) 247-0300
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10953 Ramona Blvd
El Monte, CA 91731-2629
Phone (626) 434-2800
593 W 6TH St
San Pedro, CA 90731-2521
Phone (310) 547-0202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167101 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Harbor Community Clinic Inc. | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Harbor Community Clinic Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Hurtt Family Health Clinic Inc. | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Hurtt Family Health Clinic Inc | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
947 S Anaheim Blvd
Ste 260
Anaheim, CA 92805
10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
593 W 6th St
San Pedro, CA 90731
Phone (310) 547-0202
1100 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 835-6055
1100 N Tustin Ave
Ste Adf
Santa Ana, CA 92705
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
14642 Newport Ave
Ste 300
Tustin, CA 92780
Phone (714) 669-4422
14642 Newport Ave
Ste 200
Tustin, CA 92780
Phone (714) 669-4466
1 Hope Dr
Tustin, CA 92782
Phone (714) 247-4398
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADEBAA
- wyamashita155455@santaclaravalley.direct-ci.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hurtt Family Health Clinic Inc | Federally qualified health center | Operational/Managerial Control | Nov 16, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1144760943
Operational/Managerial Control
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- San Pedro, CA
- NPI 1467490425
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Clinic/Center
- El Monte, CA
- NPI 1528079233
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Clinic/Center
- Morgan Hill, CA
- NPI 1114676251
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Pediatrics Physician
- San Pedro, CA
- NPI 1831739614
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1003250093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1982137691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14642 NEWPORT AVE STE 300",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806059",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPE DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927820221",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598"
}
],
"practiceLocations": [
{
"address_1": "947 S Anaheim Blvd Ste 260",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928055591",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100B N Tustin Ave Ste A",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053505",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14642 Newport Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927806058",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMASHITA",
"first_name": "WARREN",
"middle_name": "TOSHIRO",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "A167101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.