Individual provider Active NPI

Yuki Kashiwabara, MD

  • Obstetrics & Gynecology Physician
  • Tustin, CA
National Provider Identifier
1528033701
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79688 Issued in CA
Practice address
14642 Newport Ave Ste 320
Tustin, CA 92780-6059
Phone
(949) 333-3236
Fax
(949) 656-4224
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A79688 CA
Obstetrics & Gynecology Physician 207V00000X A79688 CA Primary

Addresses

Primary practice location

14642 Newport Ave Ste 320
Tustin, CA 92780-6059

Mailing address

14751 Comet St
Irvine, CA 92604-2403
Phone (949) 333-3236

Other identifiers 1

IdentifierTypeStateIssuer
02570574MedicaidNY

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
I20071203000342 CA Practitioner - Obstetrics/Gynecology 0840262606 Practice locations: Irvine, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79688CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates at Long Island College Hospital Obstetrics & Gynecology Past Accepting new patients
Naeim-Meshkinpour MD Medical Group Inc PastSince Apr 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ykashiwabara837196@direct.memorialcare.org

Organizations & group practices 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1528033701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 COMET ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042403",
            "telephone_number": "949-333-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 320",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806059",
            "telephone_number": "949-333-3236",
            "fax_number": "949-656-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIWABARA",
        "first_name": "YUKI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79688",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02570574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.