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

Monica Mitsuyo Fukuda Yamagata

Individual provider Family Medicine Physician · NPI 1750072237

Monica Mitsuyo Fukuda Yamagata is a Family Medicine Physician in Loma Linda, California. Practices as a sole proprietor. Licensed in Guam.

Licensed in
GU
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-6491
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence TLL-2026-007 (GU)

Record details

NPI number1750072237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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