Active NPI
Osamu Ukimura, M.D., PH.D.
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1992023550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- SFP000017
- Practice address
- 1441 Eastlake Ave
Nor-7416
Los Angeles, CA 90089-0112 - Phone
- (323) 865-3750
- NPI assigned
- May 6, 2010
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | SFP000017 | CA | Primary |
Addresses
Primary practice location
1441 Eastlake Ave
Nor-7416
Los Angeles, CA 90089-0112
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-3750
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SFP000017 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1992023550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-865-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 EASTLAKE AVE",
"address_2": "NOR-7416",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890112",
"telephone_number": "323-865-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKIMURA",
"first_name": "OSAMU",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-06",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "SFP000017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.