Individual provider Active NPI

Susan M Yoshimura, RD, CDE

  • Registered Dietitian
  • Hanford, CA
National Provider Identifier
1235767294
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
469291
Practice address
515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone
(928) 247-7309
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 469291 Primary

Addresses

Primary practice location

515 W Grangeville Blvd
Hanford, CA 93230-2861

Mailing address

PO Box 1669
Hanford, CA 93232-1669
Phone (559) 587-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403002804 CA Practitioner - Registered Dietitian Or Nutrition Professional 3173952660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Endocrinology, a Professional Corporation CurrentSince Mar 1, 2020 Accepting new patients
My Diabetes Tutor Inc Dietitian, Registered CurrentSince May 1, 2020 Accepting new patients

Locations

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1235767294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321669",
            "telephone_number": "559-587-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "928-247-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIMURA",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "469291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.