Sandra Hisako Matsuo Fukudome, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

43738 Issued in CA

Practice address

12900 Park Plaza Dr
Cerritos, CA 90703-9329

Phone

(714) 501-2953

NPI assigned

May 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: sandra.matsuofukudome.p5@direct.caremorewest.nextgenshare.com
• Direct secure messaging: sandra.matsuofukudome.p4@direct.caremorewest.nextgenshare.com
• Direct secure messaging: sandra.fukudome.p5@direct.caremoreagp.nextgenshare.com
• Direct secure messaging: sandra.matsuofukudome.p1@direct.caremorewest.nextgenshare.com

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1932556396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 MCGARVEY ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335094",
            "telephone_number": "714-501-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "714-501-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUDOME",
        "first_name": "SANDRA",
        "middle_name": "HISAKO MATSUO",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Elizabeth Friedman
• Joelene Therese Friestad, MSW
• Elva Fuentes
• Marta Zuleyma Fuentes
• Darlyne Fujimoto, O.D.
• Dania Iveth Funez Amaya
• Stephanie Fung, OTR/L
• Brianna Furlough
• Donald S. Furman, MD
• Karla Galan Perez

• Pharmacist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.