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NPI Code Detail

MEDICARE: DEAN SHOJI KASHINO M.D.

MEDICARE:   DEAN SHOJI KASHINO  M.D.
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
1207Q00000XFamily Medicine PhysicianG35500CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2G035500OTHERCACA MEDICAL LICENSE

General Provider Information

NPI Number : 1811984446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN SHOJI KASHINO M.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line : ATTN: CREDENTIALING/PAYER ENROLLMENT
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1779 DOMINICAN WAY STE B
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95065-1526
Country : US
Telephone Number : 831-318-6010
Fax Number : 831-479-4967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 03/07/2023

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Directions to “ DEAN SHOJI KASHINO M.D.” Practice Location

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