Active NPI
Hirofumi Kuroda, PSY.D.
- Clinical Psychologist
- Stockton, CA
National Provider Identifier
1770923849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34796
- Practice address
- 7707 Austin Rd
Stockton, CA 95215 - Phone
- (209) 467-2500
- NPI assigned
- Jul 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 34796 | CA | Primary |
Addresses
Primary practice location
7707 Austin Rd
Stockton, CA 95215
Mailing address
PO Box 6510
Alameda, CA 94501-7610
Other practice location 1
310 8th St Ste 200A
Oakland, CA 94607-6527
Phone (510) 735-3900
Other practice location 2
3081 Teagarden St
San Leandro, CA 94577-5720
Phone (510) 347-4620 ext. 610
Other practice location 3
1141 Harbor Bay Pkwy Ste 105
Alameda, CA 94502-6596
Phone (510) 835-2777 ext. 15
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34796 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1770923849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6510",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945017610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 AUSTIN RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95215",
"telephone_number": "209-467-2500"
}
],
"practiceLocations": [
{
"address_1": "310 8th St Ste 200A",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946076527",
"country_code": "US",
"telephone_number": "510-735-3900",
"fax_number": "510-474-1715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3081 Teagarden St",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945775720",
"country_code": "US",
"telephone_number": "510-347-4620 x610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1141 Harbor Bay Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "945026596",
"country_code": "US",
"telephone_number": "510-835-2777 x15",
"fax_number": "510-835-0164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURODA",
"first_name": "HIROFUMI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-03",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.