Nichole Rene Yamashiro, DNP,APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021285 Issued in CA

Practice address

203 W Badillo St
Covina, CA 91723-1907

Phone

(626) 732-8350

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, Irvine, California College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.36 of 100Reported as group

Quality

60.04

Promoting interoperability

87

Improvement activities

40

Cost

69.31

Merit-based Incentive Payment System (MIPS)

Final score

80.57 of 100Reported as group

Quality

62.42

Promoting interoperability

76

Improvement activities

40

Cost

76.15

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: nichole.yamashiro.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  Medicare reassignment Care Compare group NPD
• Emanate Health Medical Care Foundation

  • Multi-Specialty Clinic/Center
  • West Covina, CA
  • NPI 1467195073
  Medicare reassignment NPD
• Emanate Health Medical Group

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1326582743
  Medicare reassignment NPD
• Regents of the University of

  • Family Medicine Physician
  • Orange, CA
  • NPI 1366590762
  Medicare reassignment NPD
• UC Regents Uci Dept of Pediatrics

  • Pediatrics Physician
  • Orange, CA
  • NPI 1235187311
  Medicare reassignment NPD
• Citrus Valley Physician Partners

  • Specialist
  • West Covina, CA
  • NPI 1043703150
  NPD
• Emanate Health Medical Group

  • General Practice Physician
  • Covina, CA
  • NPI 1881054997
  NPD
• Lakeside Medical Associates, a Medical Group, Inc.

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1366084253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 401",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903921",
            "telephone_number": "626-732-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-732-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926974218",
            "country_code": "US",
            "telephone_number": "949-824-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W West Covina Pkwy # 102",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902708",
            "country_code": "US",
            "telephone_number": "626-856-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 S Sunset Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903921",
            "country_code": "US",
            "telephone_number": "626-732-8391",
            "fax_number": "626-732-8393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMASHIRO",
        "first_name": "NICHOLE",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DNP,APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebEX",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WebEx",
            "address_1": "1500 W West Covina Pkwy # 102",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917902708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Zihao Xu, MD
• Feng Xue
• Lordes Yacoub
• Haidy Yakoub
• Nicholas Alexander Yamaguchi, MS
• Michael Masato Yamashita, RN
• Vivian Carol Yan
• Anne Yang
• Emily Yang
• Henry Chang-Lien Yang, MD

• Family Nurse Practitioner in Covina, CA
• Providers in Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.