Provider Demographics
NPI:1336157486
Name:YOKOYAMA, DON S (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:S
Last Name:YOKOYAMA
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52988207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1062578OtherFIRST HEALTH
CA1089833OtherGREAT WEST
CA20738OtherINTERPLAN
CA3482227OtherCIGNA
CA4509853OtherAETNA
CAG52988OtherBLUE CROSS
CA000810342996OtherPHCS
CA764241OtherUNITED HEALTHCARE
CA018899OtherHEALTH NET
CA90026180OtherPACIFICARE
CAMCMG127000OtherWESTERN HEALTH ADVANTAGE
CA00G529880Medicare ID - Type Unspecified
CA1062578OtherFIRST HEALTH