Yasuhiro Nishiura, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G64059 Issued in CA

Practice address

17577 Arrow Blvd
Fontana, CA 92335

Phone

(909) 823-4454

Fax

(909) 823-6918

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Community Hospital of San Bernardino

  dba Community Convalescent Center of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Redlands, CA
  • NPI 1891892535
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1225128770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CARNEGIE DR.",
            "address_2": "SUITE 230",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083583",
            "telephone_number": "909-890-0407",
            "fax_number": "909-890-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17577 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-823-4454",
            "fax_number": "909-823-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIURA",
        "first_name": "YASUHIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G64059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G640590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ching-Long C. Ni, MD
• Blanca Ruth Nicassio, AMFT
• Ida A Nieuwenhuizen, PA
• Sukhmeet Nijjrah
• Bianca Patricia Nino-Lanathoua
• David CHI-Ming Niu, M.D.
• Ivy Njoloma
• Erin Nolte-Hough, DO
• Mahin Nosrati-Jahromi, DDS
• Nabil P. Noujaim, MD

• Pediatrics Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.