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SHOTA YAMAMOTO MD
NPI 1609165356
Radiology - Diagnostic Radiology in San Diego, CA

Active since April 04, 2011PECOS Enrolled
13280 EVENING CREEK DR S STE 110, SAN DIEGO, CA 92128(858) 546-3800(858) 546-3900 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Apr 3, 2026, Mar 10, 2026 and 6 more (9 updates tracked since 2018).

About Shota Yamamoto Md NPPES

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

SHOTA YAMAMOTO MD (NPI 1609165356) is an individual diagnostic radiology provider in San Diego, California, licensed in Pennsylvania (MD462620) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1609165356
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSHOTA YAMAMOTOCredential: MD
Location Address13280 EVENING CREEK DR S STE 110San Diego, CA 92128-4109
Mailing Address3509 N Broad St # APhiladelphia, PA 19140-4105 · (215) 707-9211
Phone(858) 546-3800
Fax(858) 546-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateApril 10, 20269 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1609165356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · MD462620✔ Licensed in IL · 036.150350
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
13280 EVENING CREEK DR S STE 110, San Diego, CA 92128
Open in Google Maps ↗

Secondary Practice Locations 8

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-8000 · Fax (708) 520-1039
Location 2500 Martha Jefferson DrCharlottesville, VA 22911-4668 · Phone (434) 654-7000
Location 31 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 4310 Salem Woodstown RdSalem, NJ 08079-2064 · Phone (856) 935-1000
Location 54301 W Markham St # 556Little Rock, AR 72205-7101 · Phone (501) 296-1095 · Fax (501) 526-5919
Location 62801 Atlantic AveLong Beach, CA 90806-1701 · Phone (562) 933-1550 · Fax (562) 933-8088
Location 7750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 88835 Germantown AvePhiladelphia, PA 19118-2718 · Phone (215) 707-7237 · Fax (215) 707-9389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shota Yamamoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901170067
PECOS Enrollment IDI20170928000736, I20190701001331, I20191106001251, I20200224002212, I20210312000369, I20210913002980, I20211005002105, I20230322002397, I20240911000488, I20250410001143, I20250731000935, I20260303001300, I20260401002953, I20260403000696
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.

Medicare Billing Reassignments

88

Medicare enrollment records show Shota Yamamoto reassigns Medicare billing to 88 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kennewick Radiology Group, PC
8.5 mi
Diagnostic Radiology
3731 TORREY VIEW CT
San Diego, CA 92130
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1295209559 (559) 455-4009
Modesto Radiological Medical Group, Inc
13 mi
Diagnostic Radiology
4525 YERBA SANTA DR
San Diego, CA 92115
  • Reassigned Medicare billing, California enrollment
  • 102 clinicians in this Medicare group
NPI 1629424486 (559) 455-4009
X-Ray Medical Group Inc
13 mi
Diagnostic Radiology
7777 ALVARADO RD, SUITE 108
La Mesa, CA 91941
  • Reassigned Medicare billing, California enrollment
  • 78 clinicians in this Medicare group
NPI 1740232776 (619) 460-2770
Beverly Radiology Medical Group
30 mi
Diagnostic Radiology
521 E ELDER ST, SUITE 101
Fallbrook, CA 92028
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Beverly Radiology Medical Group Iii
  • Also billed through NPI 1801159736 (California)
  • 349 clinicians in this Medicare group
NPI 1043681752 (310) 445-2000
Universal Radiology Partners Of California PC
36 mi
Diagnostic Radiology
31700 TEMECULA PKWY
Temecula, CA 92592
  • Reassigned Medicare billing, California enrollment
  • 124 clinicians in this Medicare group
NPI 1467225235 (951) 331-2200
Desert Advanced Imaging Medical Center
67 mi
Diagnostic Radiology
72855 FRED WARING DR
Palm Desert, CA 92260
  • Reassigned Medicare billing, California enrollment
  • 278 clinicians in this Medicare group
NPI 1568416147 (760) 346-1130
I V Radiology Medical Group
70 mi
Diagnostic Radiology
6043 E BIRDCAGE CT
Orange, CA 92869
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1801325345 (559) 455-4127
Memorialcare Medical Foundation
72 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
Fullerton Radiology Medical Group, Inc
74 mi
Diagnostic Radiology
5528 E LA PALMA AVE STE 4A
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 95 clinicians in this Medicare group
NPI 1861451858 (714) 993-2000
St Jude Radiology Medical Group Inc
80 mi
Diagnostic Radiology
101 E VALENCIA MESA DR
Fullerton, CA 92835
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
NPI 1649349705 (714) 992-3000

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

Areas of Expertise CMS Part B claims 40

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
1,958 services1,860 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
1,750 services11 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
816 services774 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
363 services358 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
259 services258 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
239 services238 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. JANET L AMUNDSON M.D.
Radiology (Diagnostic Radiology)
13280 EVENING CREEK DR S STE 110
SAN DIEGO, CA 92128
San Diego County (858) 546-3800
DR. RAVIKUMAR HANUMAIAH MD
Radiology (Diagnostic Radiology)
13280 EVENING CREEK DR S STE 110
SAN DIEGO, CA 92128
San Diego County (858) 546-3800
JORGE ALBERTO MENDOZA JR. MD
Radiology (Diagnostic Radiology)
13280 EVENING CREEK DR S STE 110
SAN DIEGO, CA 92128
San Diego County (858) 546-3800
DR. DANIEL A STRAUCHLER M.D.
Radiology (Neuroradiology)
13280 EVENING CREEK DR S STE 110
SAN DIEGO, CA 92128
San Diego County (855) 835-3723
DAVID JEROME COHEN M.D.
Radiology (Diagnostic Radiology)
13280 EVENING CREEK DR S STE 110
SAN DIEGO, CA 92128
San Diego County (858) 546-3800

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 Shota Yamamoto's NPI number?

The NPI number for Shota Yamamoto is 1609165356. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Shota Yamamoto located?

Shota Yamamoto practices at 13280 Evening Creek Dr S Ste 110, San Diego, CA 92128. The listed phone number is (858) 546-3800.

What is Shota Yamamoto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shota Yamamoto enrolled in Medicare?

Yes. Shota Yamamoto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shota Yamamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shota Yamamoto reassigns Medicare benefits to 88 organizations: Kennewick Radiology Group, PC (San Diego, CA), Modesto Radiological Medical Group, Inc (San Diego, CA), X-Ray Medical Group Inc (La Mesa, CA), Beverly Radiology Medical Group (Fallbrook, CA), Universal Radiology Partners Of California PC (Temecula, CA) and 83 more organizations, listed in the Medicare section above. Each 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 Shota Yamamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shota Yamamoto accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 16 other insurers list Shota Yamamoto 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.

Is Shota Yamamoto affiliated with any hospitals?

According to CMS data, Shota Yamamoto is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shota Yamamoto was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.