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

Dr. Jacob Jun Tsukamoto

Individual provider Community Health Worker · NPI 1083180798

Dr. Jacob Jun Tsukamoto is a Community Health Worker in Layton, Utah. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

934 S Main St
Layton, UT 84041-7135
Phone: (801) 336-1845
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 7481707 (ID)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1083180798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address934 S Main St, Layton, UT 84041-7135

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