Individual provider Active NPI

Yousuke Takashi Horikawa, M.D.,PH.D.

  • Pediatrics Physician
  • Santee, CA
National Provider Identifier
1760777528
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A123209 Issued in CA
Practice address
8701 Cuyamaca St
Santee, CA 92071
Phone
(858) 499-2701
Fax
(619) 568-8098
NPI assigned
Jun 9, 2011
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A123209 CA Primary

Addresses

Primary practice location

8701 Cuyamaca St
Santee, CA 92071

Mailing address

8701 Cuyamaca St
Santee, CA 92071
Phone (858) 499-2701

Other names 1

  • Howard Yousuke Hamai Former name

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
I20140904002015 CA Practitioner - Pediatric Medicine 6507084571 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123209CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 19, 2014 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Pediatrics CurrentSince Jul 19, 2014 Accepting new patients

Locations

5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6666

8701 Cuyamaca St
Santee, CA 92071
Phone (619) 568-8025

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1760777528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "858-499-2701",
            "fax_number": "619-568-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "858-499-2701",
            "fax_number": "619-568-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIKAWA",
        "first_name": "YOUSUKE",
        "middle_name": "TAKASHI",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A123209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOWARD",
            "last_name": "HAMAI",
            "middle_name": "YOUSUKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.