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CHARLENE V. KAKIMOTO, MD, INC
NPI 1083104012
Dermatology - Clinical & Laboratory Dermatological Immunology in Coronado, CA

Active since May 15, 2018
230 PROSPECT PL STE 260, CORONADO, CA 92118(619) 437-1146(619) 437-1912 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlene V. Kakimoto, Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE V. KAKIMOTO, MD, INC (NPI 1083104012) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Coronado, California and active in the NPI registry since May 2018. The organization lists Sirena Ferguson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083104012
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameCHARLENE V. KAKIMOTO, MD, INC
Location Address230 PROSPECT PL STE 260Coronado, CA 92118-1987
Mailing Address230 Prospect Pl Ste 260Coronado, CA 92118-1987 · (619) 437-1146 · Fax (619) 437-1912
Phone(619) 437-1146
Fax(619) 437-1912
Organization SubpartNo
Authorized OfficialSirena FergusonOffice Manager · (619) 437-1146
Enumeration DateMay 15, 2018
✔ NPI 1083104012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in CA · A82481
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
230 PROSPECT PL STE 260, Coronado, CA 92118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE BROGAN MD
Dermatology
230 PROSPECT PL STE 260
CORONADO, CA 92118
San Diego County (619) 437-1146
CHARLENE V. KAKIMOTO, MD, INC
Dermatology
230 PROSPECT PL STE 260
CORONADO, CA 92118
San Diego County (619) 437-1146
JACQUELINE BROGAN MD
Dermatology
230 PROSPECT PL STE 260
CORONADO, CA 92118
San Diego County (619) 437-1146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlene V. Kakimoto, MD, Inc's NPI number?

The NPI number for Charlene V. Kakimoto, MD, Inc is 1083104012. It was assigned to this organization in the NPPES registry on May 15, 2018.

Where is Charlene V. Kakimoto, MD, Inc located?

Charlene V. Kakimoto, MD, Inc is located at 230 Prospect Pl Ste 260, Coronado, CA 92118. The listed phone number is (619) 437-1146.

What is Charlene V. Kakimoto, MD, Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Charlene V. Kakimoto, MD, Inc was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.