Individual provider Active NPI

Ryuko Ishikawa, MD

  • Psychiatry Physician
  • San Mateo, CA
National Provider Identifier
1053629634
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A42754 Issued in CA
Practice address
138 E Hillsdale Blvd
San Mateo, CA 94403-2817
Phone
(415) 640-1455
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A42754 CA Primary

Addresses

Primary practice location

138 E Hillsdale Blvd
San Mateo, CA 94403-2817

Mailing address

570 Blossom Hill Rd
San Jose, CA 95123-3212
Phone (855) 799-4647

Other practice location 1

1055 W Henderson Ave
Porterville, CA 93257-1490
Phone (559) 788-1200

Other names 1

  • Ryuko Hiramatsu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42754CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Psychological Services, Inc. CurrentSince Nov 16, 2021 Accepting new patients
United Psychiatry, Inc. Psychiatry Past Accepting new patients

Locations

39180 Liberty St
Ste 205
Fremont, CA 94538
Phone (510) 439-0657

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1053629634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BLOSSOM HILL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233212",
            "telephone_number": "855-799-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E HILLSDALE BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032817",
            "telephone_number": "415-640-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 W Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932571490",
            "country_code": "US",
            "telephone_number": "559-788-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "RYUKO",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A42754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYUKO",
            "last_name": "HIRAMATSU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.