DR. CLYDE J IKEDA


Address: 1199 Bush St, Ste 640, San Francisco, CA 94109
Phone: 4157751199

DR. CLYDE J IKEDA (NPI# 1548232556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548232556
Entity Type Individual
Full Name DR. CLYDE J IKEDA
Credential MD
Practice Address 1199 Bush St
Ste 640
San Francisco
CA 94109
Practice Telephone 4157751199
Practice Fax Number 4157750360
Mailing Telephone 4157751199
Mailing Fax Number 4157750360
Enumeration Date 2006-02-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery G49242 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 7759618 05

Other Providers CLYDE IKEDA

NPI Name Taxonomy Address Enumeration
1316093552 Clyde Steven Ikeda Dentist 2503 Professional Pkwy, Santa Maria, CA 93455-1657 2007-01-27

Office Location

Street Address 1199 BUSH ST
STE 640
City SAN FRANCISCO
State CA
Zip Code 94109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235490061 Nicholas H. Mast, M.d., Inc. Orthopaedic Surgery 1199 Bush St, 300, San Francisco, CA 94109-5999 2012-06-07
1396030482 Robert Purchase Md Inc. Orthopaedic Surgery 1199 Bush St, #200, San Francisco, CA 94109-5999 2011-06-16
1407147549 Man-kit Leung, M.d., Inc. Otolaryngology 1199 Bush St, Suite 620, San Francisco, CA 94109-5999 2011-04-24
1154634756 Robert A. Harvey, Md, Apc Plastic Surgery 1199 Bush St, Suite 690, San Francisco, CA 94109-5999 2010-07-23
1942532072 Hannah Rose Wright Physician Assistant 1199 Bush St, Suite 500, San Francisco, CA 94109-5999 2010-01-29
1053578161 Hoyman Hong, Md A Prof Med Corp Physical Medicine & Rehabilitation 1199 Bush St, 300, San Francisco, CA 94109-5999 2008-05-19
1497943641 Hedi Frances Karnofel Physical Therapist 1199 Bush St, Ste 650, San Francisco, CA 94109-5999 2007-10-11
1962690115 Yvette Veronique Fawzi Physical Therapist 1199 Bush St, Ste 650, San Francisco, CA 94109-5999 2007-10-11
1750596326 Robert John Purchase Orthopaedic Surgery 1199 Bush St, #200, San Francisco, CA 94109-5999 2007-05-14
1962626234 Christy Amon Collinson Nurse Practitioner 1199 Bush St, Suite 500, San Francisco, CA 94109-5999 2007-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
Find all providers in zip 94109

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972008423 Shahin Javaheri Md A Professional Corporation Plastic Surgery 2100 Webster St Ste 502, San Francisco, CA 94115-2381 2018-03-27
1326386590 Albert W. Chow, Md, Inc. Plastic Surgery 1 Daniel Burnham Ct Ste 368c, San Francisco, CA 94109-0470 2013-01-23
1164729927 Chia Jen Chung, Md, Inc. Plastic Surgery 390 Laurel St Ste 205, San Francisco, CA 94118-1953 2011-02-14
1225334873 Kate Buretta Krucoff Plastic Surgery 45 Castro St Ste 121, San Francisco, CA 94114-1019 2011-01-30
1972790699 Sirish Maddali, M.d., Inc. Plastic Surgery 390 Laurel Street, Suite 205, San Francisco, CA 94118-1953 2007-09-26
1023214343 Dellon Institute for Peripheral Nerve Surgery Northern California Plastic Surgery 2345 Balboa St, San Francisco, CA 94121-2912 2007-06-23
1053451518 Jordan C Deschamps-braly Plastic Surgery 360 Post St Ste 901, San Francisco, CA 94108-4988 2007-02-07
1104990316 Rose Mary Jacinta Lewis Plastic Surgery 332 Warren Dr, San Francisco, CA 94131-1034 2006-11-20
1396824835 Andrew Barnett Plastic Surgery 450 Sutter St Rm 1123, San Francisco, CA 94108-3913 2006-11-03
1760573794 Te Ning Chang Plastic Surgery 2250 Hayes St Ste 540, San Francisco, CA 94117-1078 2006-09-27
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Competitor

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City SAN FRANCISCO
Zip Code 94109

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Dataset Information

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.

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