Kenneth S Yamamoto MD a Medical Corp

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G31340 Issued in CA

Legal business name

KENNETH S YAMAMOTO MD A MEDICAL CORP

Practice address

1800 Sullivan Ave
Suite 803
Daly City, CA 94015-2225

Phone

(415) 337-2121

Fax

(415) 337-1247

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Susumu Yamamoto, MD

Title

MD/Owner

Phone

(415) 337-2121

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386778934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 803",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152225",
            "telephone_number": "415-337-2121",
            "fax_number": "415-337-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 803",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152225",
            "telephone_number": "415-337-2121",
            "fax_number": "415-337-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S YAMAMOTO MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SUSUMU",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "415-337-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": "G313400",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G31340",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": "G313400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G313400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marie Kavanagh, REGISTERED NURSE
• Amy Kei
• Michael Lee Kemper, D.C.
• Jaila Kennard
• Kenneth Hovden DDS Inc
• Hannah Isabel Kesten
• Aman Shabi Khan, MD
• Rehan Khan, PAC
• Shaista Khanoon
• Ye Khant

• Hematology & Oncology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.