ALFRED MITSURU YAMAMOTO


Address: 3700 South St, Pathology Dept, Lakewood, CA 90712-1419
Phone: 5626026737

ALFRED MITSURU YAMAMOTO (NPI# 1457387417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457387417
Entity Type Individual
Full Name ALFRED MITSURU YAMAMOTO
Credential M.D.
Practice Address 3700 South St
Pathology Dept
Lakewood
CA 90712-1419
Mailing Address 2374 E Pacifica Pl
Rancho Dominguez
CA 90220-6214
Practice Telephone 5626026737
Practice Fax Number 5626026896
Mailing Telephone 3102253244
Mailing Fax Number 3106987054
Enumeration Date 2006-06-23
Last Update Date 2016-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
G61896 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G618960 05

Office Location

Street Address 3700 SOUTH ST
PATHOLOGY DEPT
City LAKEWOOD
State CA
Zip Code 90712-1419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669439667 Chin Seung Radiology 3700 South St, Lakewood, CA 90712-1419 2006-04-26
1821699380 Natasha Nicole Witzl Physician Assistant 3700 South St, Lakewood, CA 90712-1419 2020-11-02
1710509666 Joshua Youssefzadeh Student in an Organized Health Care Education/Training Program 3700 South St, Lakewood, CA 90712-1419 2020-05-14
1003447475 Thomas Nguyen Pharmacist 3700 South St, Lakewood, CA 90712-1419 2020-02-04
1386284834 Century Radiology Medical Group, Inc Radiology 3700 South St, Lakewood, CA 90712-1419 2020-01-13
1851954523 Ibrahim Akkari Podiatrist 3700 South St, Lakewood, CA 90712-1419 2019-04-18
1841779790 Timothy Frank Rizzo Registered Nurse 3700 South St, Lakewood, CA 90712-1419 2018-08-11
1770954984 Honeycomb Medical Services, A Med Corp Physician Assistant 3700 South St, Lakewood, CA 90712-1419 2015-10-14
1619368990 Lisa Stebbins Nurse Practitioner 3700 South St, Lakewood, CA 90712-1419 2015-02-09
1376961599 Yujai Adrienne Tse Physical Therapist 3700 South St, Lakewood, CA 90712-1419 2014-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689289944 Createwellness LLC Social Worker 5250 Hayter Avenue, Lakewood, CA 90712 2020-09-14
1801451398 Marilou Toquero Dental Corp Durable Medical Equipment & Medical Supplies 3203 Carson St Suite 2, Lakewood, CA 90712 2019-05-09
1225510126 N Ozder Dental Practice Inc Clinic/Center 5037 Lakewood Blvd, Lakewood, CA 90712 2018-09-06
1003394446 Robert Michael Schlesinger Counselor 5150 Candlewood St Ste 13a, Lakewood, CA 90712 2018-07-28
1316439847 P.r.i.s.m. Institute Inc. Chiropractor 5233 Premiere Ave, Lakewood, CA 90712 2018-05-31
1316477938 Broadleaf Healthcare Orthotist 4345 Levelside Ave, Lakewood, CA 90712 2017-06-15
1679008049 Adrienne Yoshiko Doi Podiatrist 3700 East South Street, Lakewood, CA 90712 2017-04-24
1841747334 Garrison R Weaver-gourdeau Chiropractor 4115 E. South St, Lakewood, CA 90712 2016-09-01
1073967394 Mirna S Rizkalla Family Medicine 3650 South St Ste 404, Lakewood, CA 90712 2016-04-22
1841657251 Roxanna Jimenez Rehabilitation Practitioner 5818 Clark Ave, Lakewood, CA 90712 2016-01-15
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770726101 Roger Paul Ilvonen Pathology 2337 S Youngfield Way, Lakewood, CO 80228-4970 2009-04-15
1437248580 Gloria Marcelo Romerocaces Pathology 1200 River Ave Bldg 10, Lakewood, Lakewood, NJ 08701-5657 2006-10-12
1710973433 Robert Junius Haas Pathology 7444 W Alaska Dr, Ste 250, Lakewood, CO 80226-3327 2005-09-27
1841682879 Apex Pathology P.C. Pathology 7444 W Alaska Dr, Suite 250, Lakewood, CO 80226-3327 2015-02-27
1386843753 Kanta Davessar Pathology 1200 River Ave, Suite 10e, Lakewood, NJ 08701-5657 2007-07-16
1437272705 Bryan Neil Coffing Pathology 7444 W Alaska Dr, Suite 250, Lakewood, CO 80226-3327 2007-04-09
1487795779 Beth Ann Wadsworth Pathology 11600 W 2nd Pl, Lakewood, CO 80228-1527 2007-02-09
1821192196 Mirna Zgombic Knight Pathology 7444 W Alaska Dr, Ste 250, Lakewood, CO 80226-3327 2006-09-08
1871531764 Darshana Mahapatro Pathology 600 River Ave, Lakewood, NJ 08701-5237 2006-06-03
1770530834 Kmc Pathology Pa Pathology 600 River Ave, Lakewood, NJ 08701-5237 2006-05-27
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Competitor

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City LAKEWOOD
Zip Code 90712

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Dataset Information

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.

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