BRYCE KIYOSHI YAMAUCHI (NPI# 1679686976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679686976 |
| Entity Type | Individual |
| Full Name | BRYCE KIYOSHI YAMAUCHI |
| Credential | DPM |
| Practice Address |
1300 W 155th St #210 Gardena CA 90247-4061 |
| Practice Telephone | 3107671538 |
| Practice Fax Number | 3107671165 |
| Mailing Telephone | 3107671538 |
| Mailing Fax Number | 3107671165 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO104 | HI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | E3477 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E34772 | 05 |
| Street Address |
1300 W 155TH ST #210 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689610768 | Cheryl J Hanks | Physical Therapist | 1300 W 155th St, Suite 203, Gardena, CA 90247 | 2006-06-20 |
| 1588110803 | Sirach Acupuncture Inc | Acupuncturist | 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 | 2016-08-28 |
| 1629350178 | Stance Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1300 W 155th St, Suite 106, Gardena, CA 90247-4048 | 2011-09-11 |
| 1508164328 | La County Department of Mental Health | Rehabilitation Practitioner | 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 | 2011-03-02 |
| 1306140637 | Rivy Olasumbo Oseni | Nurse Practitioner | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-12-30 |
| 1932409281 | Janice Gregory | Registered Nurse | 1300 W 155th St, 103, Gardena, CA 90247-4048 | 2010-11-02 |
| 1932421484 | Cre-sha A Beverly | Counselor | 1300 W 155th St, Gardena, CA 90247-4048 | 2010-02-25 |
| 1295057792 | Gary David Barnett | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-02-24 |
| 1629302948 | Etna L Gonzalez | Registered Nurse | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-09-21 |
| 1629211396 | Deanna Marie King | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255778726 | John Jinn-jyh Shun | Podiatrist | 1045 W Redondo Beach Blvd Ste 106, Gardena, CA 90247-4276 | 2013-05-23 |
| 1013012368 | Lawrence Ira Rubin | Podiatrist | 1045 W Redondo Bch Blvd, Suite 250, Gardena, CA 90247 | 2006-09-13 |
| 1154361871 | Rabin Beral | Podiatrist | 1141 W Redondo Beach Blvd Ste 302, Gardena, CA 90247-3583 | 2006-06-08 |
| 1861472409 | Glenn Jun Shintaku | Podiatrist | 1212 W Gardena Blvd, Ste B, Gardena, CA 90247 | 2006-01-19 |
| 1982894572 | Lawrence I Rubin Dpm, Inc | Podiatrist | 1045 W Redondo Beach Blvd, #250, Gardena, CA 90247-4128 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.