DR. KENNETH ISHIZUE M.D.
NPI 1518994581
Orthopaedic Surgery - Sports Medicine in Salinas, CA

Q: What is Kenneth Ishizue's NPI number?

The NPI number for Kenneth Ishizue is 1518994581. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Kenneth Ishizue's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Ishizue was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 27, 2006PECOS Enrolled

1441 CONSTITUTION BLVD STE 200, SALINAS, CA 93906(831) 755-4111(831) 759-6565 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Kenneth Ishizue M.d. NPPES

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

DR. KENNETH ISHIZUE M.D. (NPI 1518994581) is an individual sports medicine provider in Salinas, California, licensed in California (G56343) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518994581

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. KENNETH ISHIZUECredential: M.D.

Location Address1441 CONSTITUTION BLVD STE 200Salinas, CA 93906-3127

Mailing Address1441 Constitution Blvd Ste 200Salinas, CA 93906-3127 · (831) 755-4111 · Fax (831) 759-6565

Phone(831) 755-4111

Fax(831) 759-6565

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateDecember 7, 2007

✔ NPI 1518994581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · G56343

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G56343 (CA)

1441 CONSTITUTION BLVD STE 200, Salinas, CA 93906

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Other Identifiers 3

Medicaid00G563430CA

Medicare UPINF33668CA

Medicare PIN00G563431CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Ishizue M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

SHAINA MARIE ROMERO

Marriage & Family Therapist