John Fujiwara, FNP-C PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013404 Issued in CA

Practice address

200 S San Pedro St Ste 302
Los Angeles, CA 90012-5308

Phone

(213) 680-0355

Fax

(323) 980-4848

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Fujiwara Medical Group Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1437894870
  Medicare reassignment NPD Authorized official
• Fujiwara Medical Centers Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1689043622
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1992205926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125308",
            "telephone_number": "213-680-0355",
            "fax_number": "323-980-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125308",
            "telephone_number": "213-680-0355",
            "fax_number": "323-980-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "East Los Angeles",
            "state": "CA",
            "postal_code": "900224015",
            "country_code": "US",
            "telephone_number": "323-980-8488",
            "fax_number": "323-980-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9808 Venice Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902322732",
            "country_code": "US",
            "telephone_number": "310-945-3350",
            "fax_number": "310-945-3356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8275 S Eastern Ave Ste 200-175",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232591",
            "country_code": "US",
            "telephone_number": "702-758-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJIWARA",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-C PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95122533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Margot Fujimura
• Saki Fujita
• Chelsea Fujitaki, RDN
• Fujiwara Medical Centers Inc.
• Fujiwara Medical Group Inc.
• Yohsuke Fukami, MD
• Tina Fukuchi
• Cortney Wong Fukuda
• Miyuki Fukui, MD
• Sarah Fukui

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.