Active NPI
Ryuko Ishikawa, MD
- Psychiatry Physician
- San Mateo, CA
National Provider Identifier
1053629634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A42754
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A42754 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Psychological Services, Inc. | Current | 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.
-
- Behavior Analyst
- Fremont, CA
- NPI 1932865029
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"
}
]
}
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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.