Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Tom Imura

Individual provider Community Health Worker · NPI 1790213767

Douglas Tom Imura is a Community Health Worker in South San Francisco, California. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

505 Cypress Ave
South San Francisco, CA 94080-2922
Phone: (650) 380-6149
Fax: (650) 952-5846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1790213767
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 2, 2017
Last updated in NPPESJune 2, 2017

Other providers in South San Francisco