Individual provider Active NPI

Yukiko Kobori, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1114731643
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95030045 Issued in CA
Practice address
3450 Wilshire Blvd Ste 1118
Los Angeles, CA 90010-2227
Phone
(213) 468-4548
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95030045 CA Primary

Addresses

Primary practice location

3450 Wilshire Blvd Ste 1118
Los Angeles, CA 90010-2227

Mailing address

3450 Wilshire Blvd Ste 1118
Los Angeles, CA 90010-2227
Phone (213) 468-4548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625001766 CA Practitioner - Nurse Practitioner 9234641226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

3533 Motor Ave
Los Angeles, CA 90034-4806
Phone (310) 836-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95030045CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince May 1, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

Organizations & group practices 1

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1114731643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WILSHIRE BLVD STE 1118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102227",
            "telephone_number": "213-468-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WILSHIRE BLVD STE 1118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102227",
            "telephone_number": "213-468-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBORI",
        "first_name": "YUKIKO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95030045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.