Yasuko Kidokoro, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A032727 Issued in CA

Practice address

5222 Balboa Ave Ste 31
San Diego, CA 92117-6952

Phone

(858) 277-9669

Fax

(858) 277-9901

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Infectious Disease, Internal Medicine, Pathology

Education

Other, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFCGBA/Endpoint/CFCGBA

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.

• Yasuko Kidokoro MD a Professional Corporation

  • General Practice Physician
  • San Diego, CA
  • NPI 1144595000
  Medicare reassignment Authorized official
• Yasuko Kidokoro MD a Professional Corporation

  • Primary Care Clinic/Center
  • San Diego, CA
  • NPI 1508183765
  NPD Authorized official
• Sharp Coronado Hospital and Healthcare Center

  • General Acute Care Hospital
  • Coronado, CA
  • NPI 1154304475
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1124130901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176952",
            "telephone_number": "858-277-9669",
            "fax_number": "858-277-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176952",
            "telephone_number": "858-277-9669",
            "fax_number": "858-277-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDOKORO",
        "first_name": "YASUKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A032727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kidd, CHC
• Anthony Kidder
• Hailey Anne Kidder, IDC
• Michele Kidder, RN
• Jocelia Juah Kidio
• Megan Kidron
• Kids on the Point OT, Inc
• Kidspiration Physical Therapy, Inc.
• Bridget Kiefaber, LCSW
• Julia J Kiel, M.A., CCC/SLP

• Adult Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.