Individual provider Active NPI

Gerald N Yorioka, M.D.

  • Family Medicine Physician
  • North Bend, WA
National Provider Identifier
1336190990
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00015464 Issued in WA
Practice address
404 Main Ave S
North Bend, WA 98045-8215
Phone
(425) 888-5511
Fax
(425) 888-5513
NPI assigned
May 16, 2006
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00015464 WA Primary

Addresses

Primary practice location

404 Main Ave S
North Bend, WA 98045-8215

Mailing address

PO Box 969
Snoqualmie, WA 98065-0969
Phone (425) 831-2100

Other identifiers 1

IdentifierTypeStateIssuer
8634404MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1336190990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980650969",
            "telephone_number": "425-831-2100",
            "fax_number": "425-831-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458215",
            "telephone_number": "425-888-5511",
            "fax_number": "425-888-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORIOKA",
        "first_name": "GERALD",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8634404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.