NATACHA YAIKO YONEZUKA-GULLO (PA-C) – Physician Assistant, NPI 1689655938

NATACHA YAIKO YONEZUKA-GULLO (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00953 (OR). The NPI Number for NATACHA YAIKO YONEZUKA-GULLO (PA-C) is 1689655938

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
NATACHA YAIKO YONEZUKA-GULLO (PA-C)
NPI
1689655938
Phone
(503) 223-3569
Address
1840 NW RAMSEY DR
Enumeration Date
11 November 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2163455056
Group Practice PAC ID
7517148554
Professional Enrollment ID
I20050926000608
Address ID
OR972235443po10250RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for NATACHA YAIKO YONEZUKA-GULLO (PA-C)

  • 1840, Northwest Ramsey Drive, Barnes Heights, Forest Park, Portland, Multnomah County, Oregon, 97229, United States

    PORTLAND, OR 972294241

    Phone: (503) 223-3569

    Type: Mailing

  • 1960 NW 167TH PL, SU 205

    BEAVERTON, OR 97006

    Phone: (503) 629-7500

    Fax: (503) 629-7505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fidia Pharma USA Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050926000608IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg5,97573$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance32897$0
99212Established patient office or other outpatient visit, 10-19 minutes29189$0
99213Established patient office or other outpatient visit, 20-29 minutes5137$0
View full utilization report →

Insurance plans in this area (ZIP 97229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517148554View full group profile
NameSpecialtyState
-OR
Physician AssistantAZ
Emergency MedicineOR
Physical Therapist In Private PracticeOR
Emergency MedicinePA
Emergency MedicineUT
-OR
-OR

Reviews

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Frequently asked questions

What is the 10-digit NPI for NATACHA YAIKO YONEZUKA-GULLO (PA-C)?
NATACHA YAIKO YONEZUKA-GULLO (PA-C) — NPI 1689655938 — is the standard way to identify this listing.
Is NATACHA YAIKO YONEZUKA-GULLO (PA-C) still practicing?
NATACHA YAIKO YONEZUKA-GULLO (PA-C) is currently listed as active in the public NPI registry.
What is NATACHA YAIKO YONEZUKA-GULLO (PA-C)'s specialty?
The listing groups NATACHA YAIKO YONEZUKA-GULLO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect NATACHA YAIKO YONEZUKA-GULLO (PA-C) on a map?
Expect Portland, Oregon as a primary anchor for NATACHA YAIKO YONEZUKA-GULLO (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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