KAYOKO JACKIE NAKAMURA (NPI# 1144586736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144586736 |
| Entity Type | Individual |
| Full Name | KAYOKO JACKIE NAKAMURA |
| Credential | NP |
| Practice Address |
1002 W Fremont Ave Idylwood Care Center Sunnyvale CA 94087 |
| Mailing Address |
860 Hillwood Dr San Jose CA 95129-2201 |
| Practice Telephone | 4087392383 |
| Mailing Telephone | 4088610860 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
21301 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1002 W FREMONT AVE IDYLWOOD CARE CENTER |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770501744 | Helios Healthcare, LLC | Skilled Nursing Facility | 1002 W Fremont Ave, Sunnyvale, CA 94087-3031 | 2006-07-18 |
| 1801401732 | Yk Liao | Occupational Therapist | 1002 W Fremont Ave, Sunnyvale, CA 94087-3031 | 2020-09-08 |
| 1396134995 | Alex Agpasa | Physical Therapist | 1002 W Fremont Ave, Sunnyvale, CA 94087-3031 | 2015-01-20 |
| 1033459979 | Heather Brockett | Occupational Therapist | 1002 W Fremont Ave, Sunnyvale, CA 94087-3031 | 2013-02-28 |
| 1508063322 | Crestwood Behavioral Health, Inc. | Skilled Nursing Facility | 1002 W Fremont Ave, Sunnyvale, CA 94087-3031 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597642 | Care Comfort Cure A Professional Corporation | Acupuncturist | 877 W Fremont Ave, Ste. I-3, Sunnyvale, CA 94087 | 2020-01-15 |
| 1629632658 | Amy Valentine | Social Worker | Stanford Children's Health Specialty Clinics, 1195 West Fremont Ave, Sunnyvale, CA 94087 | 2019-04-25 |
| 1144707043 | Fremont Union High School District | Community/Behavioral Health | 591 W Fremont Ave, Sunnyvale, CA 94087 | 2018-07-24 |
| 1245737170 | Bintu Baby | Nurse Practitioner | 576 E El Camino Real # 9700, Sunnyvale, CA 94087 | 2018-04-08 |
| 1619484094 | Jenny Giang | Pharmacist | 103 El Camino Real, Sunnyvale, CA 94087 | 2018-01-06 |
| 1073042347 | Melvin James Ezaki | Pharmacist | 1165 W. El Camino Real, Sunnyvale, CA 94087 | 2017-06-08 |
| 1053862466 | Wei Wang | Acupuncturist | 500 E Remington Dr. #25, Sunnyvale, CA 94087 | 2016-10-20 |
| 1083164016 | Greenschema Inc. | Marriage & Family Therapist | 575 Dunholmeway, Sunnyvale, CA 94087 | 2016-10-13 |
| 1558718106 | Neta Shani | Acupuncturist | 500e Remington Dr #25, Sunnyvale, CA 94087 | 2016-05-24 |
| 1396113635 | Megan M Kolda | Counselor | 814 Mulberry Ln, Sunnyvale, CA 94087 | 2015-09-03 |
| Find all providers in zip 94087 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
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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.