Individual provider Active NPI

Jillian Emiko Yoshimoto, D.O.

  • Child & Adolescent Psychiatry Physician
  • Paradise, CA
National Provider Identifier
1215296041
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
20A15649 Issued in CA
Practice address
7200 Skyway
Paradise, CA 95969-3280
Phone
(530) 877-5845
NPI assigned
May 14, 2012
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 20A15649 CA Primary

Addresses

Primary practice location

7200 Skyway
Paradise, CA 95969-3280

Mailing address

94-1156 Kaloli Loop
Waipahu, HI 96797-5412
Phone (425) 802-7084

Other practice location 1

88 Table Mountain Blvd
Oroville, CA 95965-3578
Phone (530) 538-2158

Other practice location 2

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-8918

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001861 CA Practitioner - Psychiatry 3678973385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15649CAMDChild & Adolescent Psychiatry Physician
15649CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince May 4, 2021 Accepting new patients
Ampla Health Current Accepting new patients
County of Butte Current Accepting new patients
County of Butte CurrentSince May 4, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
County of Butte Past Accepting new patients

Locations

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

7200 Skyway
Paradise, CA 95969
Phone (530) 872-2103

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

Interoperability endpoints

  • Direct secure messaging: jillian.yoshimoto@ampla.eclinicaldirectplus.com
  • Direct secure messaging: jillianyoshimoto@tdh.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1215296041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1156 KALOLI LOOP",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975412",
            "telephone_number": "425-802-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693280",
            "telephone_number": "530-877-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Table Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959653578",
            "country_code": "US",
            "telephone_number": "530-538-2158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-8918",
            "fax_number": "559-600-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOSHIMOTO",
        "first_name": "JILLIAN",
        "middle_name": "EMIKO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2022-04-06",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A15649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.