Organization Active NPI

Kobayashi MD PLLC

Doing business as Yakima General Surgery

  • Surgery Physician
  • Yakima, WA
National Provider Identifier
1639987910
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KOBAYASHI MD PLLC
Doing business as
Yakima General Surgery
Yakima Mens Clinic
Practice address
210 S 11TH Ave Ste 42
Yakima, WA 98902-3221
Phone
(509) 509-5790
Fax
(509) 509-5791
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Akira KobayashiNPI 1821483751
Title
Ceo
Phone
(650) 773-8174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

210 S 11TH Ave Ste 42
Yakima, WA 98902-3221

Mailing address

210 S 11TH Ave Ste 42
Yakima, WA 98902-3221
Phone (509) 509-5790

Other names 2

  • Yakima General Surgery Doing business as
  • Yakima Mens Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205000219 WA Part B Supplier - Clinic/Group Practice 2466982582 Receives reassigned benefits from 2 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1639987910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE STE 42",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023221",
            "telephone_number": "509-509-5790",
            "fax_number": "509-509-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE STE 42",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023221",
            "telephone_number": "509-509-5790",
            "fax_number": "509-509-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBAYASHI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KOBAYASHI",
        "authorized_official_first_name": "AKIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-773-8174"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima General Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yakima Mens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.