RICHARD TSUKASA KOTOMORI (NPI# 1770685364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770685364 |
Entity Type | Individual |
Full Name | RICHARD TSUKASA KOTOMORI |
Credential | M.D. |
Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5153 |
Mailing Address |
14021 Mesita Cliff Rd Ne Albuquerque NM 87112-6580 |
Practice Telephone | 5052651711 |
Practice Fax Number | 5052565466 |
Mailing Telephone | 5053320130 |
Enumeration Date | 2006-09-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
75-60 | NM | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215059084 | Richard Tsukasa Kotomori | Psychiatry & Neurology | 6529 Riverside Ave, Suite 133, Riverside, CA 92506-3122 | 2007-04-04 |
Street Address |
1501 SAN PEDRO DR SE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87108-5153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
Find all providers in zip 87108 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215390737 | Joey Burl Boyce | Preventive Medicine | 1417 San Rafael Ave Ne, Albuquerque, NM 87122-1120 | 2016-04-01 |
1780002220 | Athanasios Kostandinos Manole | Preventive Medicine | 1540 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87112-4460 | 2014-04-02 |
1679616650 | Merrie Herbig Rockwell | Preventive Medicine | 1515 Eubank Ave, Ne, Sandia National Laboratories, Ms 1019, Albuquerque, NM 87123 | 2007-02-15 |
1518972074 | Denece Kesler | Preventive Medicine | 5 Th Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
1801849567 | Heidi Roeber Rice | Preventive Medicine | Msc 10 5550 Employee Occupational Health, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-05-17 |
1285940734 | Nancy Porter | Preventive Medicine | 2400 Wellesley Dr Ne, Nm Doh, Albuquerque, NM 87107-1812 | 2010-08-23 |
1821216995 | Robert Vitek | Preventive Medicine | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2007-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982896262 | William Henry Brady IIi | Preventive Medicine | Los Alamos National Laborabory, Ms D421, Los Alamos, NM 87545-0001 | 2007-08-10 |
1962596494 | Michael Jonathan Paston | Preventive Medicine | 9700 G Avenue Se, Afia/sgo, Kirtland Afb, NM 97117-5670 | 2006-10-02 |
1659434793 | Deborah Schenck | Preventive Medicine | 2420 W Pierce St, Suite 103, Carlsbad, NM 88220-3543 | 2006-12-19 |
City | ALBUQUERQUE |
Zip Code | 87108 |
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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.