Individual provider Active NPI

Craig Yatsu, CPO

  • Orthotist
  • Aurora, CO
National Provider Identifier
1992463723
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CPO03192 Issued in CO
Practice address
386 Norfolk St
Aurora, CO 80011-9343
Phone
(303) 400-8866
NPI assigned
Nov 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CPO03192 CO Primary

Addresses

Primary practice location

386 Norfolk St
Aurora, CO 80011-9343

Mailing address

386 Norfolk St
Aurora, CO 80011-9343
Phone (303) 400-8866

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA

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

State licenses

LicenseStateTypeSpecialty
CPO03192COMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC Orthotist PastSince Dec 5, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1992463723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 NORFOLK ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119343",
            "telephone_number": "303-400-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 NORFOLK ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119343",
            "telephone_number": "303-400-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSU",
        "first_name": "CRAIG",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CO",
            "license": "CPO03192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "386 Norfolk St",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800119343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.