Active NPI
Yukiko Kashiwa Poon, MD
- Pediatrics Physician
- Loma Linda, CA
National Provider Identifier
1912185059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A105711
- Practice address
- 11234 Anderson St.
Llumc, House Staff Office CP 21005
Loma Linda, CA 92354 - Phone
- (909) 558-1000
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A105711 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St.
Llumc, House Staff Office CP 21005
Loma Linda, CA 92354
Mailing address
11234 Anderson St.
Llumc, House Staff Office CP 21005
Loma Linda, CA 92354
Other names 1
- Yukiko Kashiwa
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121108000394 | CA | Order and Referring Only - Pediatric Medicine | 7810148467 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1912185059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST.",
"address_2": "LLUMC, HOUSE STAFF OFFICE CP 21005",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST.",
"address_2": "LLUMC, HOUSE STAFF OFFICE CP 21005",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "YUKIKO",
"middle_name": "KASHIWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A105711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YUKIKO",
"last_name": "KASHIWA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.