Individual provider Active NPI

Kevin Del Fujikawa, M.D.

  • Family Medicine Physician
  • Fair Oaks, CA
National Provider Identifier
1356313456
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G058555 Issued in CA
Practice address
4944 Sunrise Blvd Ste H
Fair Oaks, CA 95628-4941
Phone
(916) 966-8158
Fax
(916) 966-8118
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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 G058555 CA Primary

Addresses

Primary practice location

4944 Sunrise Blvd Ste H
Fair Oaks, CA 95628-4941

Mailing address

4944 Sunrise Blvd Ste H
Fair Oaks, CA 95628-4941
Phone (916) 966-8158

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
13.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
43.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G058555CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1356313456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 SUNRISE BLVD STE H",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284941",
            "telephone_number": "916-966-8158",
            "fax_number": "916-966-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 SUNRISE BLVD STE H",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284941",
            "telephone_number": "916-966-8158",
            "fax_number": "916-966-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIKAWA",
        "first_name": "KEVIN",
        "middle_name": "DEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G058555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.