YASUKO KIDOKORO MD INC APC
NPI 1144595000
General Practice in San Diego, CA

Q: What is Yasuko Kidokoro MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 12, 2012

4282 GENESEE AVE, SUITE 202, SAN DIEGO, CA 92117(858) 277-9669(858) 277-9901 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2019, Aug 20, 2018 (2 updates tracked since 2018).

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About Yasuko Kidokoro Md Inc Apc NPPES

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

YASUKO KIDOKORO MD INC APC (NPI 1144595000) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since March 2012. The organization lists Yasuko Kidokoro, Md, as its authorized official.

NPPES Registry Identity

NPI1144595000

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameYASUKO KIDOKORO MD A PROFESSIONAL CORPORATION

Location Address4282 GENESEE AVE, SUITE 202San Diego, CA 92117-4989

Mailing Address4282 Genesee Ave, Suite 202San Diego, CA 92117-4989 · (858) 277-9669 · Fax (858) 277-9901

Phone(858) 277-9669

Fax(858) 277-9901

Organization SubpartNo

Authorized OfficialYasuko KidokoroMd · (858) 277-9669

Enumeration DateMarch 12, 2012

Last NPPES UpdateApril 11, 20192 updates tracked since enumeration

✔ NPI 1144595000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A032727

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4282 GENESEE AVE, San Diego, CA 92117

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Other Names 1

Other NameYasuko Kidokoro Md Inc Apc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yasuko Kidokoro Md Inc Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yasuko Kidokoro MD Inc Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yasuko Kidokoro, M.D.

General Practice

NPI 1124130901

5222 BALBOA AVE STE 31
San Diego, CA 92117

(858) 277-9669

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Yasuko Kidokoro MD A Professional Corporation's NPI number?

The NPI number for Yasuko Kidokoro MD A Professional Corporation is 1144595000. It was assigned to this organization in the NPPES registry on March 12, 2012. The provider is also known as Yasuko Kidokoro MD Inc Apc.

Where is Yasuko Kidokoro MD A Professional Corporation located?

Yasuko Kidokoro MD A Professional Corporation is located at 4282 Genesee Ave Suite 202, San Diego, CA 92117. The listed phone number is (858) 277-9669.

What is Yasuko Kidokoro MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Yasuko Kidokoro MD A Professional Corporation enrolled in Medicare?

Yes. Yasuko Kidokoro MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yasuko Kidokoro MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Yasuko Kidokoro MD A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yasuko Kidokoro MD A Professional Corporation was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.