Provider Demographics
NPI:1366456170
Name:AOKI DIABETES RESEARCH INSTITUTE
Entity Type:Organization
Organization Name:AOKI DIABETES RESEARCH INSTITUTE
Other - Org Name:AOKI DIABETES CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:AOKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-455-2374
Mailing Address - Street 1:1935 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6637
Mailing Address - Country:US
Mailing Address - Phone:916-455-2374
Mailing Address - Fax:916-455-3734
Practice Address - Street 1:3100 O ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6519
Practice Address - Country:US
Practice Address - Phone:916-455-2374
Practice Address - Fax:916-455-3734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG016656174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15948ZMedicare ID - Type UnspecifiedAOKI DIABETES RESEARCH IN
CAA39866Medicare UPIN