Active NPI
Kayo Imamura, AMFT
- Marriage & Family Therapist
- La Jolla, CA
National Provider Identifier
1982296646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 117374
- Practice address
- 3274 Via Marin
Unite 87
La Jolla, CA 92037-2906 - Phone
- (858) 848-5492
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 117374 | CA | Primary |
Addresses
Primary practice location
3274 Via Marin
Unite 87
La Jolla, CA 92037-2906
Mailing address
3274 Via Marin
Unite 87
La Jolla, CA 92037-2906
Phone (858) 848-5492
Other names 1
- Kayo Imamura
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imamura Marriage & Family Therapy, Inc | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1649114372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1982296646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 VIA MARIN",
"address_2": "UNITE 87",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372906",
"telephone_number": "858-848-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3274 VIA MARIN",
"address_2": "UNITE 87",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372906",
"telephone_number": "858-848-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMAMURA",
"first_name": "KAYO",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "117374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYO",
"last_name": "IMAMURA",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.