Individual provider Active NPI

Erika Tokuyama, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1508450453
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0006311 Issued in CO
Practice address
3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone
(970) 800-9330
Fax
(720) 927-4301
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0006311 CO Primary

Addresses

Primary practice location

3451 Mountain Lion Dr
Loveland, CO 80537-8817

Mailing address

PO Box 731
Loveland, CO 80539-0731
Phone (970) 663-2742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20210226002385 CO Practitioner - Physician Assistant 2769897636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Colorado School of Medicine, Aurora, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Dermatology and Surgery LLCGroup PAC ID 2961830369, 6 clinicians

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 102
Sterling, CO 80751-4560
Phone (970) 800-9330

3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone (970) 800-9330

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0006311COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Dermatology & Surgery, LLC Dermatology CurrentSince Jul 15, 2022 Accepting new patients
Boulder Valley Center for Dermatology LLC Dermatology PastSince Mar 1, 2021 Accepting new patients

Locations

1615 Foxtrail Dr
Ste 100
Loveland, CO 80538
Phone (303) 831-7419

3451 Mountain Lion Dr
Loveland, CO 80537
Phone (970) 800-9330

1405 S 8th Ave
Ste 102
Sterling, CO 80751
Phone (970) 522-0591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2831/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00209

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1508450453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805390731",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 MOUNTAIN LION DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378817",
            "telephone_number": "970-800-9330",
            "fax_number": "720-927-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKUYAMA",
        "first_name": "ERIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0006311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.