Provider Demographics
NPI:1033249602
Name:KAJIKURI, HISASHI (MD)
Entity Type:Individual
Prefix:DR
First Name:HISASHI
Middle Name:
Last Name:KAJIKURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 EL DORADO ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3117
Mailing Address - Country:US
Mailing Address - Phone:831-373-7851
Mailing Address - Fax:831-373-1606
Practice Address - Street 1:167 EL DORADO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3117
Practice Address - Country:US
Practice Address - Phone:831-373-7851
Practice Address - Fax:831-373-1606
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA22393208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4407523OtherMEDICAL PIN
CA00A223930Medicaid
CA105797OtherRHD
CA105797OtherRHD
CA4407523OtherMEDICAL PIN
A23050Medicare UPIN