Yukiko Ito, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61075 Issued in CA

Practice address

4900 California Avenue
Tower B, 2ND Floor
Bakersfield, CA 93309-7024

Phone

(617) 505-1520

Fax

(617) 928-8401

NPI assigned

Aug 28, 2013

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

Other names 1

• Yukiko Sueda Former name

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

Physician Assistant

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Form Health Associates PCGroup PAC ID 0244641272, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: yukiko.ito@168064768409604.direct.elationemr.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.

• Form Health Associates, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bakersfield, CA
  • NPI 1043835044

  CA

  Medicare reassignment Care Compare group
• Form Health Associates, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bakersfield, CA
  • NPI 1801615752
  NPD (past)
• Brigham and Women'S Faulkner Hospital, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  NPD (past)
• Brigham and Womens Physicians Organization Inc

  • Diagnostic Radiology Physician
  • Jamaica Plain, MA
  • NPI 1578549507
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1407280209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE STREET",
            "address_2": "5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVENUE",
            "address_2": "TOWER B, 2ND FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097024",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 State Street",
            "address_2": "5th FL",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021092906",
            "country_code": "US",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITO",
        "first_name": "YUKIKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUKIKO",
            "last_name": "SUEDA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arbi Ismailyan, DMD
• Sasank Isola
• Tammy Issa, MD
• Aji Issac
• Hiroki Ito, M.D.
• Mariana Nicole Iturry Rojas
• Ivan Medina-Martinez DDS, Inc.
• Janine Ivy, MFT
• Nelson Toshio Iwata, O.D.
• Joy Nneka Iwuchukwu, DNP, MSN, APRN-BC

• All providers in Bakersfield, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.