DR. SHOTARO FUKUDA DC
NPI 1306584487
Chiropractor in San Jose, CA

Q: What is Shotaro Fukuda's NPI number?

The NPI number for Shotaro Fukuda is 1306584487. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Shotaro Fukuda's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shotaro Fukuda was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 26, 2022

4323 MOORPARK AVE STE A, SAN JOSE, CA 95129(408) 343-3835 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Shotaro Fukuda Dc NPPES

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

DR. SHOTARO FUKUDA DC (NPI 1306584487) is an individual chiropractor in San Jose, California, licensed in Colorado (0007583) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1306584487

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHOTARO FUKUDACredential: DC

Location Address4323 MOORPARK AVE STE ASan Jose, CA 95129-2075

Mailing Address4323 Moorpark Ave Ste ASan Jose, CA 95129-2075 · (408) 343-3835

Phone(408) 343-3835

Sole ProprietorYes

Enumeration DateMay 26, 2022

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1306584487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CO · 0007583

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4323 MOORPARK AVE STE A, San Jose, CA 95129

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

ELISE LEUNG DC

Chiropractor

4323 MOORPARK AVE STE A
SAN JOSE, CA 95129

Santa Clara County (408) 343-3835

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 Shotaro Fukuda's NPI number?

The NPI number for Shotaro Fukuda is 1306584487. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Shotaro Fukuda located?

Shotaro Fukuda practices at 4323 Moorpark Ave Ste A, San Jose, CA 95129. The listed phone number is (408) 343-3835.

What is Shotaro Fukuda's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Shotaro Fukuda accept?

Health plans from Providence Health Plan list Shotaro Fukuda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shotaro Fukuda was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.