Individual provider Active NPI

Keith Isamu Yoshizuka, PHARMD

  • Pharmacist
  • Vallejo, CA
National Provider Identifier
1114404712
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30125 Issued in CA
Practice address
1310 Club Drive
Touro University California College of Pharmacy
Vallejo, CA 94592
Phone
(707) 638-5992
Fax
(707) 638-5953
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30125 CA Primary

Addresses

Primary practice location

1310 Club Drive
Touro University California College of Pharmacy
Vallejo, CA 94592

Mailing address

1310 Club Drive
Touro University California College of Pharmacy
Vallejo, CA 94592
Phone (707) 638-5992

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
30125CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1114404712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DRIVE",
            "address_2": "TOURO UNIVERSITY CALIFORNIA COLLEGE OF PHARMACY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-638-5992",
            "fax_number": "707-638-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CLUB DRIVE",
            "address_2": "TOURO UNIVERSITY CALIFORNIA COLLEGE OF PHARMACY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-638-5992",
            "fax_number": "707-638-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIZUKA",
        "first_name": "KEITH",
        "middle_name": "ISAMU",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "30125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.