Individual provider Active NPI

Keiko Tochikura, MD

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1417242389
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A81118 Issued in CA
Practice address
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone
(818) 556-2700
Fax
(818) 295-3450
NPI assigned
Jun 17, 2011
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 A81118 CA Primary

Addresses

Primary practice location

4323 W Riverside Dr
Burbank, CA 91505-4044

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

Other practice location 1

6344 Topanga Canyon Blvd Ste 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000650 CA Practitioner - Family Practice 2466354998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81118CAMDPharmacist
A81118CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 1, 2014 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
The Regents of the University of California CurrentSince Jan 1, 2016 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
Motion Picture and Television Fund Medical Group, Inc Past Accepting new patients

Locations

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

1950 Sawtelle Blvd
Ste 130
Los Angeles, CA 90025
Phone (310) 996-9355

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

6344 Topanga Canyon Blvd
Ste 2040
Woodland Hills, CA 91367
Phone (818) 610-0292

23388 Mulholland Dr
#62
Woodland Hls, CA 91364

Interoperability endpoints

  • Direct secure messaging: ktochikura361922@direct.uclahealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1417242389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 W RIVERSIDE DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054044",
            "telephone_number": "818-556-2700",
            "fax_number": "818-295-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6344 Topanga Canyon Blvd Ste 2040",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672362",
            "country_code": "US",
            "telephone_number": "818-610-0292",
            "fax_number": "818-610-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOCHIKURA",
        "first_name": "KEIKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.