Individual provider Active NPI

Karin Kiyoko Sakahara, LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1417062597
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20216 Issued in CA
Practice address
1151 Dove St Ste 295
Newport Beach, CA 92660-2843
Phone
(949) 955-9263
Fax
(949) 955-9259
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20216 CA Primary

Addresses

Primary practice location

1151 Dove St Ste 295
Newport Beach, CA 92660-2843

Mailing address

1151 Dove St Ste 295
Newport Beach, CA 92660-2843
Phone (949) 955-9263

Other practice location 1

4000 W Metropolitan Dr Ste 120
Orange, CA 92868-3504
Phone (714) 972-3700

Other names 1

  • Karin Kiyoko Kashima Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421002543 CA Practitioner - Clinical Social Worker 1355866575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20216CAMDClinical Social Worker
20216CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Feb 10, 2025 Accepting new patients

Locations

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

4000 W Metropolitan Dr
Ste 120
Orange, CA 92868
Phone (714) 972-3736

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1417062597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602843",
            "telephone_number": "949-955-9263",
            "fax_number": "949-955-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 295",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602843",
            "telephone_number": "949-955-9263",
            "fax_number": "949-955-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 W Metropolitan Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683504",
            "country_code": "US",
            "telephone_number": "714-972-3700",
            "fax_number": "714-972-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKAHARA",
        "first_name": "KARIN",
        "middle_name": "KIYOKO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "KASHIMA",
            "middle_name": "KIYOKO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.