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

Dr. Kevin Takao Kodama, MD

Individual provider Gastroenterology Physician · NPI 1750395828

Dr. Kevin Takao Kodama, MD is a Gastroenterology in Fresno, California. Graduated from University of California, San Francisco School of Medicine in 1992, 34 years ago. Practices with Community Foundation Medical Group, a 284-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
University of California, San Francisco School of Medicine
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

1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166
Phone: (559) 440-0450
Fax: (559) 440-0461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence G78832 (CA)

Record details

NPI number1750395828
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESFebruary 24, 2009

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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