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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G61896 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G618960 | 05 |
Street Address |
3700 SOUTH ST PATHOLOGY DEPT |
City | LAKEWOOD |
State | CA |
Zip Code | 90712-1419 |
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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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 |
Find all providers in zip 90712 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
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 |
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.