Individual provider Active NPI

Kentaro Joshua Kaneko, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1992272223
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015172 Issued in CA
Practice address
1171 Mission St
San Francisco, CA 94103-1519
Phone
(628) 754-9600
Fax
(628) 754-9603
NPI assigned
Oct 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95171141 CA
Nurse Practitioner 363L00000X 95015172 CA Primary

Addresses

Primary practice location

1171 Mission St
San Francisco, CA 94103-1519

Mailing address

1171 Mission St
San Francisco, CA 94103-1519
Phone (628) 754-9600

Other practice location 1

555 Stevenson St
San Francisco, CA 94103-1606
Phone (628) 217-5800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428002589 CA Practitioner - Nurse Practitioner 1052720240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1351 24TH Ave
San Francisco, CA 94122-1616
Phone (415) 682-1900

Hospital & facility affiliations

  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Feb 3, 2024 Accepting new patients
City and County of San Francisco CurrentSince Feb 3, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

Interoperability endpoints

  • Direct secure messaging: kkaneko467560@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1992272223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031519",
            "telephone_number": "628-754-9600",
            "fax_number": "628-754-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031519",
            "telephone_number": "628-754-9600",
            "fax_number": "628-754-9603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Stevenson St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031606",
            "country_code": "US",
            "telephone_number": "628-217-5800",
            "fax_number": "628-217-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANEKO",
        "first_name": "KENTARO",
        "middle_name": "JOSHUA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95171141",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.