DR. YASUKO KIDOKORO (NPI# 1124130901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124130901 |
| Entity Type | Individual |
| Full Name | DR. YASUKO KIDOKORO |
| Credential | M.D. |
| Practice Address |
5222 Balboa Ave Ste 31 San Diego CA 92117-6952 |
| Practice Telephone | 8582779669 |
| Practice Fax Number | 8582779901 |
| Mailing Telephone | 8582779669 |
| Mailing Fax Number | 8582779901 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A032727 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5222 BALBOA AVE STE 31 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174534101 | Mahshid Michelle Hamidi | Family Medicine | 5222 Balboa Ave Ste 31, San Diego, CA 92117-6952 | 2006-08-11 |
| 1366964488 | Mahshid Michelle Hamidi, A Medical Corporation | Clinic/Center | 5222 Balboa Ave Ste 31, San Diego, CA 92117-6952 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721150 | Elly Hann | Family Medicine | 8285 Santa Arminta Ave, San Diego, CA 92126-1226 | 2016-10-19 |
| 1093262255 | Allergy Abatement and Relief Medical Group | Family Medicine | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-09-06 |
| 1629192091 | Alsay Medical Group Inc. | Family Medicine | 4440 Euclid Ave, Suite A, San Diego, CA 92115-4522 | 2007-03-19 |
| 1083639470 | George Delgado | Family Medicine | 5030 Camino De La Siesta Ste 106, San Diego, CA 92108-3117 | 2006-07-13 |
| 1073543781 | Gary Kenneth Boone | Family Medicine | 3737 Moraga Ave Ste B408, San Diego, CA 92117-5364 | 2006-07-05 |
| 1578504601 | Thomas Severin Buehner | Family Medicine | 2121 5th Avenue, Suite 202, San Diego, CA 92101-2139 | 2006-06-09 |
| 1356757603 | Adam Berk Sacks | Family Medicine | 9333 Genesee Ave Ste 200, San Diego, CA 92121-2113 | 2014-07-08 |
| 1053670596 | Robert Houghton, M.d., Inc. | Family Medicine | 1855 1st Ave, Ste. 200b, San Diego, CA 92101-2685 | 2012-05-03 |
| 1124307970 | Get Well Stay Well Medical | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2011-08-11 |
| 1730312877 | Rahul Reddy Kolavala | Family Medicine | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2009-08-24 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.