Shota Yamamoto, MD - Medicare Diagnostic Radiology in San Diego, CA

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Shota Yamamoto, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Banner - University Hospital Based Physicians Llc, Renaissance Medical Foundation, Rockford Radiology Assoc, Adventist Health Medical Center Tehachapi, San Joaquin Community Hospital, Modesto Radiological Medical Group Inc, Integrated Imaging Consultants Llc, Nrhs Radiology Associates, Beverly Radiology Medical Group Iii, Valley Physician Services Pc, Fullerton Radiology Medical Group Inc, Los Alamitos Radiology Group Inc, X-ray Medical Group Inc, X-ray Associates Of Port Huron P C, Peninsula Radiological Associates Limited, County Of San Joaquin, Washington Radiologists Medical Group Inc, Focus Medical Imaging, Santa Cruz Radiology L L C, Universal Radiology Partners Of California Pc, St Jude Radiology Medical Group Inc, Prime Radiology Consultants Pc, Butler Imaging And Interventional Associates Llc, Central Valley Imaging Medical Associates Inc, Oklahoma Radiology Group P C, X-ray Associates Of Louisville Psc, Sutter Valley Medical Foundation, Hawaii Diagnostic Radiology Services Llc, Hawaii Permanente Medical Group Inc, Waianae District Comprehensive Health And Hospital Board, Incorporated, Contemporary Diagnostic Imaging Llc, Inspira Health Network Medical Group Pc, Insight Chicago Inc, Reid Physician Associates Inc, University Of Arkansas For Medical Sciences, Arkansas Health Group, Renaissance Medical Foundation, Temple Faculty Practice Plan Inc and his current practice location is 13280 Evening Creek Dr S Ste 110, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 546-3800.

Shota Yamamoto is licensed to practice in California (license number A128311) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1609165356.

Contact Information

Shota Yamamoto, MD
13280 Evening Creek Dr S Ste 110,
San Diego, CA 92128-4109
(858) 546-3800
(858) 546-3900

Map and Direction




Physician's Profile

Full NameShota Yamamoto
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location13280 Evening Creek Dr S Ste 110, San Diego, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shota Yamamoto graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1609165356
  • Provider Enumeration Date: 04/04/2011
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901170067
  • Enrollment ID: I20170928000736

Medical Identifiers

Medical identifiers for Shota Yamamoto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609165356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA10638200 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology A128311 (California)Primary
2085N0700XRadiology - Neuroradiology A128311 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology E-14066 (Arkansas)Secondary
2085R0202XRadiology - Diagnostic Radiology 58381 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Sutter Tracy Community HospitalTracy, CAHospital
St Rose HospitalHayward, CAHospital
Valley HospitalRidgewood, NJHospital
Washington HospitalFremont, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner - University Hospital Based Physicians Llc1052614294287
Renaissance Medical Foundation1153409867143
Rockford Radiology Assoc125433074941
Adventist Health Medical Center Tehachapi145664662964
San Joaquin Community Hospital155739058078
Modesto Radiological Medical Group Inc206230023989
Integrated Imaging Consultants Llc2567784408174
Nrhs Radiology Associates266855573158
Beverly Radiology Medical Group Iii3476466376307
Valley Physician Services Pc3577857333509
Fullerton Radiology Medical Group Inc458763257553
Los Alamitos Radiology Group Inc509271888262
X-ray Medical Group Inc529479680142
X-ray Associates Of Port Huron P C539578953128
Peninsula Radiological Associates Limited599160357354
County Of San Joaquin6002703436161
Washington Radiologists Medical Group Inc630592724552
Focus Medical Imaging6406999259119
Santa Cruz Radiology L L C701299695222
Universal Radiology Partners Of California Pc721437298668
St Jude Radiology Medical Group Inc721483800260
Prime Radiology Consultants Pc741648504058
Butler Imaging And Interventional Associates Llc842611547834
Central Valley Imaging Medical Associates Inc862806495349
Oklahoma Radiology Group P C903210168852
X-ray Associates Of Louisville Psc943614681846
Sutter Valley Medical Foundation98300945152136
Hawaii Diagnostic Radiology Services Llc054725322114
Hawaii Permanente Medical Group Inc7618880667610
Waianae District Comprehensive Health And Hospital Board, Incorporated9931008349137
Contemporary Diagnostic Imaging Llc185051047031
Inspira Health Network Medical Group Pc4880797570220
Insight Chicago Inc2860894706137
Reid Physician Associates Inc6406910769366
University Of Arkansas For Medical Sciences40825289551146
Arkansas Health Group7911802079579
Renaissance Medical Foundation1153409867143
Temple Faculty Practice Plan Inc03455887111191

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shota Yamamoto allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameValley Radiology Consultants Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205897568
PECOS PAC ID: 4688572639
Enrollment ID: O20031229000627
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameSt Jude Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649349705
PECOS PAC ID: 7214838002
Enrollment ID: O20040115000501
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameKern Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700821972
PECOS PAC ID: 7214826460
Enrollment ID: O20040315000421
Entity NameI V Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296880
PECOS PAC ID: 7517952310
Enrollment ID: O20040420000493
Entity NameCentral Valley Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275523169
PECOS PAC ID: 8628064953
Enrollment ID: O20040422000783
Entity NameModesto Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992747547
PECOS PAC ID: 2062300239
Enrollment ID: O20040513000453
Entity NameFullerton Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861451858
PECOS PAC ID: 4587632575
Enrollment ID: O20040917000672
Entity NameDelta Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740305846
PECOS PAC ID: 5294795308
Enrollment ID: O20041013000834
Entity NameX-ray Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740232776
PECOS PAC ID: 5294796801
Enrollment ID: O20041026000600
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633
Entity NameLodi Memorial Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameSan Joaquin Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538157508
PECOS PAC ID: 1557390580
Enrollment ID: O20050810000537
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameLos Alamitos Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005024
PECOS PAC ID: 5092718882
Enrollment ID: O20060816000607
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameMountain Communities Healthcare District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1750462271
PECOS PAC ID: 9133227135
Enrollment ID: O20070613000851
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameWashington Radiologists Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851355622
PECOS PAC ID: 6305927245
Enrollment ID: O20080116000567
Entity NameSilicon Valley Diagnostic Imaging Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629265806
PECOS PAC ID: 5496838518
Enrollment ID: O20080213000359
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameFocus Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528299989
PECOS PAC ID: 6406999259
Enrollment ID: O20100202000905
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
Entity NameRedwood Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326461708
PECOS PAC ID: 7214168095
Enrollment ID: O20140319001514
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20140401001696
Entity NameButler Imaging And Interventional Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659518389
PECOS PAC ID: 8426115478
Enrollment ID: O20141125002214
Entity NameMountain Communities Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407027568
PECOS PAC ID: 9133227135
Enrollment ID: O20160208000679
Entity NameAdventist Health Medical Center Tehachapi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275538530
PECOS PAC ID: 1456646629
Enrollment ID: O20170124000729
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20180522002986
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20181210002175
Entity NameKennewick Radiology Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114491479
PECOS PAC ID: 9335230549
Enrollment ID: O20190314000693
Entity NameRenaissance Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275181455
PECOS PAC ID: 0345571881
Enrollment ID: O20191017002981
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20200715003086
Entity NameX-ray Associates Of Louisville Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922046002
PECOS PAC ID: 9436146818
Enrollment ID: O20210127001733
Entity NameNrhs Radiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134316169
PECOS PAC ID: 2668555731
Enrollment ID: O20210616003522
Entity NameSanta Cruz Radiology L L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346291044
PECOS PAC ID: 7012996952
Enrollment ID: O20210618000118
Entity NameDiagnostic Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053368563
PECOS PAC ID: 4183510902
Enrollment ID: O20210928002457
Entity NameRockford Radiology Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740247535
PECOS PAC ID: 1254330749
Enrollment ID: O20211022001895
Entity NameShps Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790421089
PECOS PAC ID: 7315325933
Enrollment ID: O20221019000479
Entity NameRadiology Professionals Of Hutchinson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891885562
PECOS PAC ID: 5193760999
Enrollment ID: O20230323001088
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972213809
PECOS PAC ID: 1052614294
Enrollment ID: O20230517001783
Entity NameAllrad Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821341884
PECOS PAC ID: 0244484293
Enrollment ID: O20230919004020
Entity NameOklahoma Radiology Group P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841283165
PECOS PAC ID: 9032101688
Enrollment ID: O20240228000489
Entity NameUniversal Radiology Partners Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467225235
PECOS PAC ID: 7214372986
Enrollment ID: O20240304003247
Entity NameCharlottesville Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205884962
PECOS PAC ID: 1557259959
Enrollment ID: O20240722001983
Entity NamePeninsula Radiological Associates Limited
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114030426
PECOS PAC ID: 5991603573
Enrollment ID: O20240827002365
Entity NameRenaissance Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467633867
PECOS PAC ID: 1153409867
Enrollment ID: O20241010003605
Entity NameX-ray Associates Of Port Huron P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801967583
PECOS PAC ID: 5395789531
Enrollment ID: O20241018000369
Entity NameHampton Roads Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174533624
PECOS PAC ID: 4880688506
Enrollment ID: O20241219001186
Entity NamePrime Radiology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811723679
PECOS PAC ID: 7416485040
Enrollment ID: O20250116001842
Entity NameCampbell County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063575611
PECOS PAC ID: 2860392529
Enrollment ID: O20250117000502

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. Shota Yamamoto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shota Yamamoto, MD
13280 Evening Creek Dr S Ste 110,
San Diego, CA 92128-4109

Ph: (858) 546-3800		Shota Yamamoto, MD
13280 Evening Creek Dr S Ste 110,
San Diego, CA 92128-4109

Ph: (858) 546-3800

Reviews and Comments


Radiology Doctors in San Diego, CA

Kripa Anil Guram, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 888-539-8781
Dr. Lejla Aganovic, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 888-539-8781
Dr. Zachary G. Rattner, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102
Phone: 619-263-9729    Fax: 619-263-9730
Dr. Soheil Niku, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130
Phone: 619-322-0341    Fax: 858-509-0341
Dr. Frank B. Hamlett, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 319 Laurel St, San Diego, CA 92101
Phone: 619-234-3918    Fax: 619-234-5342
Dr. Aaron Mathew Smith, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7910 Frost St, San Diego, CA 92123
Phone: 858-939-3600    
Dr. Paul S Schulman, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4352 Trias St, San Diego, CA 92103
Phone: 619-997-8881    Fax: 619-795-9980

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.