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

Individual provider Rheumatology Physician · NPI 1487606695

Mariko Ishimori, MD is a Rheumatology in Los Angeles, California. Graduated from New York Medical College in 2000, 26 years ago. Practices with Venice Family Clinic, a 102-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
New York Medical College
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

8700 Beverly Blvd
Los Angeles, CA 90048-1865
Phone: (310) 423-2170
Fax: (310) 423-6898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence A79050 (CA)

Record details

NPI number1487606695
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESAugust 6, 2014

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2000 (26 years in practice)
Group practice Venice Family Clinic — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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