MEDICARE: KYLE YAMASAKI MARRIAGE AND FAMILY THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1386596872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KYLE YAMASAKI MARRIAGE AND FAMILY THERAPY PC

Provider Business Mailing Address
First Line	:	10036 ORANGE AVE
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-2816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10036 ORANGE AVE
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-2816
Country	:	US
Telephone Number	:	408-780-2248
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	KYLE YAMASAKI
Credential	:
Telephone Number	:	408-780-2248

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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