Yasuko Kidokoro MD a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A032727 Issued in CA

Legal business name

YASUKO KIDOKORO MD A PROFESSIONAL CORPORATION

Practice address

4282 Genesee Ave
Suite 202
San Diego, CA 92117-4989

Phone

(858) 277-9669

Fax

(858) 277-9901

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Yasuko Kidokoro, MDNPI 1124130901

Title

MD

Phone

(858) 277-9669

Specialties & licenses 1

Addresses

Other names 1

• Yasuko Kidokoro MD Inc APC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Yasuko Kidokoro MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yasuko Kidokoro MD a Professional Corporation

  • Primary Care Clinic/Center
  • San Diego, CA
  • NPI 1508183765
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasuko Kidokoro, M.D.

  • Adult Medicine Physician
  • San Diego, CA
  • NPI 1124130901
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1144595000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174989",
            "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": "4282 GENESEE AVE",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174989",
            "telephone_number": "858-277-9669",
            "fax_number": "858-277-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASUKO KIDOKORO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "KIDOKORO",
        "authorized_official_first_name": "YASUKO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-277-9669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A032727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yasuko Kidokoro MD Inc APC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hazem Mohamed Yassin, M.D.
• Jill K. Yastishak, NP
• Erika Shiho Yasuda, MD
• Isabela Yuki Yasuda
• Kayla Mika Yasuda
• Yasuko Kidokoro MD a Professional Corporation
• Jeffrey Yuta Yasukochi Jr.
• Nick Yasunaga
• Susan Kermoian Yaszay, NP
• Anne M Yates, LCSW

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.