Provider Demographics
NPI:1164468716
Name:HOSAKA, SHARON YUMI (DPM)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:YUMI
Last Name:HOSAKA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 SANSOME ST STE 702
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-2325
Mailing Address - Country:US
Mailing Address - Phone:415-421-3630
Mailing Address - Fax:877-893-0421
Practice Address - Street 1:233 SANSOME ST STE 702
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2325
Practice Address - Country:US
Practice Address - Phone:415-421-3630
Practice Address - Fax:877-893-0421
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2678213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA480005394OtherRAILROAD MEDICARE
CA000E26780OtherBLUE SHIELD OF CALIFORNIA
CA000E26780Medicaid
CA480005394OtherRAILROAD MEDICARE
CA000E26780Medicare PIN
CAT11438Medicare UPIN