Doreen Lanae Fukushima, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MDR5045 Issued in HI

Practice address

180 W Bullard Ave Ste 104
Clovis, CA 93612-0998

Phone

(559) 203-3775

Fax

(559) 326-0607

NPI assigned

Jun 13, 2007

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, HI3 enrollments

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 3

Specialty

Neuropsychiatry

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.39 of 100Reported as group

Quality

79.9

Promoting interoperability

99

Improvement activities

40

Cost

82.23

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Achievements Unlimited Clinical Psychology Services, Inc.

  dba Achievements Unlimited, Inc/MindDivers

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1972953875
  Medicare reassignment NPD
• County of Kern

  dba Kern BHRS Westchester

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

  Psychiatry

  Medicare reassignment NPD
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment NPD
• Kauai Medical Clinic

  • Multi-Specialty Clinic/Center
  • Lihue, HI
  • NPI 1376596643
  Medicare reassignment NPD
• Pali Momi Medical Center

  • Multi-Specialty Clinic/Center
  • Aiea, HI
  • NPI 1275588329
  Medicare reassignment NPD
• Keizer Kauka LLC

  • Psychiatry Physician
  • Pearl City, HI
  • NPI 1093390056
  NPD Authorized official
• County of Kern

  dba Kern BHRS NE RAWC

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1245434521

  Psychiatry

  NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1427176569
  NPD
• Mindcure, Inc

  • Community/Behavioral Health Agency
  • Clovis, CA
  • NPI 1467993493
  NPD
• Kauai Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Koloa, HI
  • NPI 1871611558
  NPD
• Pali Momi Medical Center

  dba Pali Momi Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aiea, HI
  • NPI 1851364731
  NPD
• Concord Hospital-Franklin

  dba Concord Hospital-Franklin Swing Bed

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205030111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1813 HAPAKI ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011633",
            "telephone_number": "209-629-7490",
            "fax_number": "351-200-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W BULLARD AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120998",
            "telephone_number": "559-203-3775",
            "fax_number": "559-326-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Kamehameha Highway",
            "address_2": "Suite 400, 402, 404",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "96782",
            "country_code": "US",
            "telephone_number": "808-347-1645",
            "fax_number": "351-200-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUKUSHIMA",
        "first_name": "DOREEN",
        "middle_name": "LANAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A124200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MDR5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirra Justine Frias
• Jason Allan Frost
• Emma Fuentes
• Mary Ann Fujihara, D.O.
• Deborah Fujimoto
• Function&Action Physical Therapy, Inc.
• Robert M Futoran, MD
• Fwdiop Inc (Forward Mental Health)
• G & J Roth Professional Corp (Timothy J. Roth, DO)
• G&J Roth Prof Corp.

• Psychiatry Physician in Clovis, CA
• Providers in Clovis, 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 24, 2025; 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.