Karen V Fukutaki, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G147227 Issued in CA

Practice address

5121 Stockdale Hwy
Bakersfield, CA 93309-2656

Phone

(130) 366-7324

NPI assigned

Jul 26, 2006

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.fukutaki.p1@direct.tpcp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Kern

  dba Kern BHRS Green Gardens

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1467653253

  Psychiatry

  NPD
• County of Kern

  dba Kern BHRS Westchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1568658821

  Psychiatry

  NPD
• County of Kern

  dba Kern BHRS Psychiatric Evaluation Center & Crisis Unit

  • Psychiatric Hospital
  • Bakersfield, CA
  • NPI 1700210200
  NPD
• County of Sacramento

  dba Division of Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1043386659
  NPD
• County of Sacramento

  • Radiology Clinic/Center
  • Sacramento, CA
  • NPI 1508936030
  NPD
• Telecare Corporation

  dba Telecare Renew Fulton Ave

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1386973972
  NPD
• Horizon House, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1841377611
  NPD
• Healthone Clinic Services LLC

  • Rehabilitation Clinic/Center
  • Denver, CO
  • NPI 1609950914
  NPD (past)
• Horizon House - Delaware Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1881719268
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1174547814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460541",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802460541",
            "telephone_number": "303-667-3249",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092656",
            "telephone_number": "130-366-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUTAKI",
        "first_name": "KAREN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "26842",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "50652",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G147227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01268424",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111271",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260048251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Tatiana Fuentes
• Ofelia Fuentes
• Alyssa Fuentez
• Jerry I Fujiwara, PHARM.D.
• Korey Fukui, OD
• Kevin Andrew Fuller, LMT
• Paul N. Fuller, MD
• Bonnie Fullerton
• Ashley Fults
• Functional Ergonomics, Inc.

• Psychiatry Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.