Shota Yamamoto, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD462620 Issued in PA

Practice address

13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109

Phone

(858) 546-3800

Fax

(858) 546-3900

NPI assigned

Apr 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in CA, HI, NJ, NV, LA, IL, IN, OR, KY, AR, TX, PA, MS, AL, MI, AZ, NC17 enrollments

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 17

Specialty

Diagnostic Radiology

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

St Jude Radiology Medical Group IncGroup PAC ID 7214838002, 61 clinicians

Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians

Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians

Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians

Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians

X-Ray Medical Group IncGroup PAC ID 5294796801, 44 clinicians

X-Ray Associates of Port Huron P CGroup PAC ID 5395789531, 28 clinicians

Prime Radiology Consultants P.C.Group PAC ID 7416485040, 52 clinicians

Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians

X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians

Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Hawaii Diagnostic Radiology Services LLCGroup PAC ID 0547253221, 16 clinicians

Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians

San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

Murphy Medical Center IncGroup PAC ID 7416856547, 70 clinicians

Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Rockford Radiology AssocGroup PAC ID 1254330749, 43 clinicians

NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians

Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians

Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians

Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Santa Cruz Radiology L L CGroup PAC ID 7012996952, 46 clinicians

Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians

Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Radiology Associates of Wichita Falls PAGroup PAC ID 7911007851, 54 clinicians

Butler Imaging and Interventional Associates LLCGroup PAC ID 8426115478, 43 clinicians

Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians

Radiology Group PC SCGroup PAC ID 9032008537, 39 clinicians

Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians

Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195
• University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
• Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 117)

Locations (25 of 144)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: shota.yamamoto.p1@direct.wcchc.nextgenshare.com
• Direct secure messaging: syamamoto1158322@direct.hfhs.org
• Direct secure messaging: syamamoto151509@direct.whhs.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.

• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• County of San Joaquin

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583

  CA

  Medicare reassignment Care Compare group NPD
• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Monrovia, CA
  • NPI 1528299989

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Fullerton Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1861451858

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kennewick Radiology Group, PC

  • Diagnostic Radiology Physician
  • San Marino, CA
  • NPI 1114491479

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • Los Alamitos, CA
  • NPI 1427005024

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Menalam Health Services PC

  • Hospitalist Physician
  • Simi Valley, CA
  • NPI 1114594967

  CA

  Medicare reassignment Care Compare group NPD
• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547

  CA, Neuroradiology

  Medicare reassignment Care Compare group NPD
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508

  CA

  Medicare reassignment Care Compare group NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD

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

• Deanco Healthcare LLC

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • Psychiatric Hospital Unit
  • Covina, CA
  • NPI 1215063151

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440

  Hospital

  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685

  Hospital

  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Hospital

  Care Compare affiliation
• University of Arkansas for Medical Sciences

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1477549756

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1609165356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST # A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284109",
            "telephone_number": "858-546-3800",
            "fax_number": "858-546-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-8000",
            "fax_number": "708-520-1039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-296-1095",
            "fax_number": "501-526-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8835 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182718",
            "country_code": "US",
            "telephone_number": "215-707-7237",
            "fax_number": "215-707-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "SHOTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD462620",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.150350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele M. Yamada, D.D.S.
• Mai Yamakawa, MD
• Yamamoto Chiropractic, Inc.
• Carl Alan Yamamoto, D.C.
• Jamie Lynn Yamamoto, MSN
• Maya L.M. Yamane, MD
• Michael Yamane
• Ryan Matthew Yamane
• Feisal Yamani, MD
• Mason Masaki Yamashita, MD

• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.