Organization Active NPI

Karen K.W. Kakishiba, M.D. Inc.

  • Adolescent Medicine (Internal Medicine) Physician
  • Yuba City, CA
National Provider Identifier
1326101445
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
G56087 Issued in CA
Legal business name
KAREN K.W. KAKISHIBA, M.D. INC.
Practice address
810 Richland Rd
Yuba City, CA 95991-6200
Phone
(530) 755-0464
Fax
(530) 751-8514
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Karen K Kakishiba, M.D.
Title
President
Phone
(530) 755-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X G56087 CA Primary

Addresses

Primary practice location

810 Richland Rd
Yuba City, CA 95991-6200

Mailing address

810 Richland Rd
Yuba City, CA 95991-6200
Phone (530) 755-0464

Other identifiers 1

IdentifierTypeStateIssuer
00G560871MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1326101445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 RICHLAND RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916200",
            "telephone_number": "530-755-0464",
            "fax_number": "530-751-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 RICHLAND RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916200",
            "telephone_number": "530-755-0464",
            "fax_number": "530-751-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN K.W. KAKISHIBA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "KAKISHIBA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-755-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G56087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G560871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.