KATIE MIKA YAMAGUCHI (NPI# 1932602877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932602877 |
| Entity Type | Individual |
| Full Name | KATIE MIKA YAMAGUCHI |
| Practice Address |
4420 Gondar Ave Lakewood CA 90713-2916 |
| Practice Telephone | 5624293976 |
| Mailing Telephone | 5624293976 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4420 GONDAR AVE |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589324 | Gina J Iniguez | Specialist/Technologist | 5640 Lakewood Blvd, Lakewood, CA 90712-1726 | 2020-05-14 |
| 1811521693 | Brianna Pittman | Specialist/Technologist | 9442 W Kentucky Pl, Lakewood, CO 80226-4174 | 2020-03-02 |
| 1467093948 | Mohamed B Alodat | Specialist/Technologist | 1546 Rosewood Ave, Lakewood, OH 44107-3736 | 2019-10-04 |
| 1164079349 | Wilson J Arabie | Specialist/Technologist | 435 Wright St Apt 42, Lakewood, CO 80228-1153 | 2019-08-21 |
| 1992272157 | Jennifer Schultz | Specialist/Technologist | 13175 W Green Mountain Dr, Lakewood, CO 80228-3512 | 2018-10-25 |
| 1316432453 | Caleb Strassberg | Specialist/Technologist | 5632 Lorelei Ave, Lakewood, CA 90712-2041 | 2018-06-29 |
| 1376047928 | Alexander Van Der Henst-huerta | Specialist/Technologist | 21120 Dalaman Ave, Lakewood, CA 90715-2114 | 2018-03-20 |
| 1134620339 | John Thomas Harder | Specialist/Technologist | 413 Zang St Apt 513, Lakewood, CO 80228-1055 | 2018-02-22 |
| 1063964377 | Jeffrey Michael Lambert-shemo | Specialist/Technologist | 1362 Manor Park Ave, Lakewood, OH 44107-2680 | 2016-11-03 |
| 1497101893 | Margaret Castillo | Specialist/Technologist | 6229 Eckleson St, Lakewood, CA 90713-1914 | 2016-05-04 |
| Find all providers in LAKEWOOD | ||||
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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.