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

Individual provider Physician Assistant · NPI 1407280209

Yukiko Ito, PA-C is a Physician Assistant in Bakersfield, California. Qualified in 2012, 14 years ago. Practices with Form Health Associates PC, a 10-clinician group, works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4900 California Avenue Tower B 2nd Fl
Bakersfield, CA 93309-7024
Phone: (617) 505-1520
Fax: (617) 928-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 State Street, Boston, MA 02109-2906 — (617) 505-1520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61075 (CA)

Record details

NPI number1407280209
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2013
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Form Health Associates Pc — 10 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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