Roy Tsutomu Ishii, MD - Pediatrics in Lodi, CA

Roy Tsutomu Ishii, MD is a Pediatrics physician based in Lodi, California. Roy Tsutomu Ishii is licensed to practice in California (license number A23529) and his current practice location is 1300 W Lodi Ave, Suite P, Lodi, California. He can be reached at his office (for appointments etc.) via phone at (209) 369-7493.

NPI number for Roy Tsutomu Ishii is 1922064161 and his current mailing address is 600 Coffee Rd, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922064161.

Contact Information

Roy Tsutomu Ishii, MD
1300 W Lodi Ave, Suite P,
Lodi, CA 95242-3000
(209) 369-7493
Not Available

Map and Direction




Physician's Profile

Full NameRoy Tsutomu Ishii
GenderMale
SpecialityPediatrics
Location1300 W Lodi Ave, Lodi, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922064161
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 07/16/2008

Medical Identifiers

Medical identifiers for Roy Tsutomu Ishii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922064161NPI-NPPES
00A235290MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A23529 (California)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. Roy Tsutomu Ishii 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 AddressPractice Location Address
Roy Tsutomu Ishii, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211
Roy Tsutomu Ishii, MD
1300 W Lodi Ave, Suite P,
Lodi, CA 95242-3000

Ph: (209) 369-7493

Reviews and Comments


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Abelardo Verceles Mayo, MD
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Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242
Phone: 209-369-7493    

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