Individual provider Active NPI

Yuichi Ishida, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newport Beach, CA
National Provider Identifier
1053667220
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A138253 Issued in CA
Practice address
1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162
Phone
(949) 764-8258
Fax
(949) 764-1493
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-46280 IA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD-46280 IA
Student in an Organized Health Care Education/Training Program 390200000X BP10044691 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A138253 CA Primary

Addresses

Primary practice location

1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162

Mailing address

1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162
Phone (949) 764-8258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191010000656 IA Practitioner - Thoracic SurgeryPractitioner - General Surgery 9537490206 Reassigns benefits to 2 organizations
I20251125002670 CA Practitioner - Cardiac Surgery 9537490206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

21115 Newport Coast Dr
Newport Beach, CA 92657-1122
Phone (949) 557-0730

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138253CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
BP10044691TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Apr 25, 2023 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Apr 25, 2023 Accepting new patients
Hoag Clinic CurrentSince Aug 10, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Sep 1, 2019 Accepting new patients
Catholic Health Initiatives-Iowa Corp Surgery CurrentSince Sep 1, 2019 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

1 Hoag Dr
Bldg 31
Newport Beach, CA 92663
Phone (949) 650-3350

21115 Newport Coast Dr
Newport Beach, CA 92657
Phone (949) 557-0728

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

250 S Crescent Dr
Ste 200
Mason City, IA 50401
Phone (641) 494-5300

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • Direct secure messaging: yuichi.ishida.p1@direct.iowaheart.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yishida3948176@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1053667220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOAG DR BLDG 31",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-8258",
            "fax_number": "949-764-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR BLDG 31",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-8258",
            "fax_number": "949-764-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIDA",
        "first_name": "YUICHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-46280",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "MD-46280",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10044691",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A138253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.