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

Dr. Yasuko Kidokoro, MD

Individual provider Adult Medicine Physician · NPI 1124130901

Dr. Yasuko Kidokoro, MD is a General Practice in San Diego, California. Qualified in 1964, 62 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
62
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5222 Balboa Ave Ste 31
San Diego, CA 92117-6952
Phone: (858) 277-9669
Fax: (858) 277-9901
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence A032727 (CA)

Record details

NPI number1124130901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Also practisesINFECTIOUS DISEASE, INTERNAL MEDICINE, PATHOLOGY
Medical schoolOTHER
Graduated 1964 (62 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego