Dr Derek Yutaka Nishimori, DDS - Medicare Dentist in San Jose, CA

Dr Derek Yutaka Nishimori, DDS is a medicare enrolled "Dentist - General Practice" provider in San Jose, California. His current practice location is 2000 Forest Ave Ste C, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 287-5900.

Dr Derek Yutaka Nishimori is licensed to practice in California (license number 64661) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164807012.

Contact Information

Dr Derek Yutaka Nishimori, DDS
2000 Forest Ave Ste C,
San Jose, CA 95128-4831
(408) 287-5900
Not Available



Healthcare Provider's Profile

Full NameDr Derek Yutaka Nishimori
GenderMale
SpecialityDentist - General Practice
Location2000 Forest Ave Ste C, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164807012
  • Provider Enumeration Date: 07/21/2015
  • Last Update Date: 06/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294033940
  • Enrollment ID: I20160412002743

Medical Identifiers

Medical identifiers for Dr Derek Yutaka Nishimori such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164807012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 64661 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derek Yutaka Nishimori is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Derek Yutaka Nishimori, DDS
1130 Kifer Rd Apt 504,
Sunnyvale, CA 94086-5392

Ph: (805) 807-1044
Dr Derek Yutaka Nishimori, DDS
2000 Forest Ave Ste C,
San Jose, CA 95128-4831

Ph: (408) 287-5900

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› Verified 7 days ago


Dentist in San Jose, CA

Nam Hoai Nguyen, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 459 S Capitol Ave, San Jose, CA 95127
Phone: 408-923-4989    
Dr. Rosemary Evans, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2680 S White Road, Suite 100, San Jose, CA 95148
Phone: 408-531-9881    Fax: 408-531-9580
Dr. Huong Thi Mai Nguyen, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1657 Mckee Rd Ste 40, San Jose, CA 95116
Phone: 408-937-9229    Fax: 408-937-6169
Magdalena Azzarelli, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1660 Hillsdale Ave, 130, San Jose, CA 95124
Phone: 408-267-2550    Fax: 408-267-1411
Dr. Aparna R. Naik, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 850 Saratoga Ave Apt E307, San Jose, CA 95129
Phone: 408-833-7992    
Dr. Arline G Guinto Macaraeg, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 125 N Jackson Ave, Suite 207, San Jose, CA 95116
Phone: 408-258-9943    Fax: 408-258-9951
Dr. Cory Timbers, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 155 N Jackson Ave, Suite 202, San Jose, CA 95116
Phone: 408-251-3766    

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