Monica Mitsuyo Fukuda Yamagata, is a
Student In An Organized Health Care Education/training Program physician based in Loma Linda, California. Monica Mitsuyo Fukuda Yamagata is licensed to practice in * (Not Available) (license number ) and her current practice location is 11234 Anderson St, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at
(909) 558-6491.
NPI number for Monica Mitsuyo Fukuda Yamagata is 1750072237 and her current mailing address is 11234 Anderson St, Loma Linda, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750072237.
Physician's Profile
| Full Name | Monica Mitsuyo Fukuda Yamagata |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11234 Anderson St, Loma Linda, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750072237
- Provider Enumeration Date: 05/16/2023
- Last Update Date: 02/23/2026
Medical Identifiers
Medical identifiers for Monica Mitsuyo Fukuda Yamagata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750072237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TLL-2026-007 (Guam) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monica Mitsuyo Fukuda Yamagata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Monica Mitsuyo Fukuda Yamagata,
11234 Anderson St,
Loma Linda, CA 92354-2804
Ph: (909) 558-6491 | Monica Mitsuyo Fukuda Yamagata,
11234 Anderson St,
Loma Linda, CA 92354-2804
Ph: (909) 558-6491 |
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