Katharine A Kishiyama, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A163919 Issued in CA

Practice address

1900 Sullivan Ave
Daly City, CA 94015-2229

Phone

(650) 992-4000

NPI assigned

Jun 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Critical Care (Intensivists)Also: General Surgery

Education

Georgetown University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkian MedicalGroup PAC ID 5496161119, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clarkian Medical

  • Critical Care Medicine (Internal Medicine) Physician
  • Daly City, CA
  • NPI 1871103317
  Medicare reassignment Care Compare group NPD
• Yama Med, a Professional Corporation

  • Surgery Physician
  • Daly City, CA
  • NPI 1336724004
  Medicare reassignment NPD Authorized official

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

• Ahmc Seton Medical Center LLC

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1023636545
  Care Compare affiliation
• Ahmc Seton Medical Center LLC

  • Psychiatric Hospital Unit
  • Daly City, CA
  • NPI 1639797855
  Care Compare affiliation

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1760829600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 CLAYTON ST APT 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174425",
            "telephone_number": "703-402-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152229",
            "telephone_number": "650-992-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "SURG: GENERAL SURGERY CLINIC",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-7391",
            "fax_number": "804-828-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISHIYAMA",
        "first_name": "KATHARINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A163919",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A163919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divya R Kini, MD
• Rachel Kinnard, LMFT
• Ceara Kirby
• Kelsey Kircher
• John Ihor Kis, DDS
• Christina Kitlinski-Hong
• Catherine Klenske
• Renata Kloch
• Clarissa Ko
• Grace Ko, NP

• Surgery Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.