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

Individual provider Medical Physician Assistant · NPI 1558344465

Daryl Tadashi Kubotsu, PA is a Medical Physician Assistant in Riverside, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7117 Brockton Ave
Riverside, CA 92506-2615
Phone: (951) 782-3853
Fax: (951) 784-3269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12055 (CA)

Record details

NPI number1558344465
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESMay 9, 2008

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