Carol Yukiko Nishikubo, MD | |
2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182 | |
(310) 453-5654 | |
(310) 453-6885 |
Full Name | Carol Yukiko Nishikubo |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 34 Years |
Location | 2001 Santa Monica Blvd Ste 560w, Santa Monica, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023083888 | NPI | - | NPPES |
G787460 | Medicaid | CA | |
G78746 | Other | CA | CALIFORNIA LICENSE |
GR0085740 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | G78746 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Saint Johns Medical Foundation | 0840548624 | 273 |
Entity Name | Providence Saint Johns Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
---|---|
Carol Yukiko Nishikubo, MD 2021 Santa Monica Blvd, Suite 400e, Santa Monica, CA 90404-2208 Ph: (310) 453-5654 | Carol Yukiko Nishikubo, MD 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182 Ph: (310) 453-5654 |
Irawan Susanto, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790 | |
Louis Ravitz, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533 | |
Janet Winikoff, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165 | |
Dr. Sean Dooley, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745 | |
Lorraine Anderson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599 | |
Dr. Colleen Lucy Channick, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939 |