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

Carol Yukiko Nishikubo, MD

Individual provider Hematology & Oncology Physician · NPI 1023083888

Carol Yukiko Nishikubo, MD is a Hematology/Oncology in Santa Monica, California. Qualified in 1990, 36 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
36
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

2001 Santa Monica Blvd Ste 560W
Santa Monica, CA 90404-2182
Phone: (310) 453-5654
Fax: (310) 453-6885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence G78746 (CA)

Record details

NPI number1023083888
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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