Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andy N. Fujimoto, MD

Individual provider Family Medicine Physician · NPI 1053488874

Andy N. Fujimoto, MD is a Family Practice in Riverside, California. Graduated from Warren Alpert Medical School of Brown University in 1997, 29 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (909) 353-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A68567 (CA)

Record details

NPI number1053488874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESNovember 30, 2021
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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