MR. YASUO FUKUDA (A.T.C.) – Athletic Trainer, NPI 1124086103

MR. YASUO FUKUDA (A.T.C.) is a healthcare provider. based in Las vegas, Nevada. specializing in Athletic Trainer. They hold the professional credentials A.T.C.. They hold a License No. 0506024 (NV). The NPI Number for MR. YASUO FUKUDA (A.T.C.) is 1124086103

Main info

Male
Name
MR. YASUO FUKUDA (A.T.C.)
NPI
1124086103
Phone
(702) 735-9425
Address
4201 S DECATUR BLVD
Enumeration Date
1 May 2006
Last Update Date
8 July 2007
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

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Provider Addresses for MR. YASUO FUKUDA (A.T.C.)

  • South Decatur Boulevard, Rancho Charleston, Las Vegas, Clark County, Nevada, 89146, United States

    APT 2142

    LAS VEGAS, NV 891035875

    Phone: (702) 735-9425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89103)

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Reviews

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Frequently asked questions

What is MR. YASUO FUKUDA (A.T.C.)'s NPI number?
MR. YASUO FUKUDA (A.T.C.)'s NPI is 1124086103 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MR. YASUO FUKUDA (A.T.C.)?
You should see MR. YASUO FUKUDA (A.T.C.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. YASUO FUKUDA (A.T.C.)?
At a glance, MR. YASUO FUKUDA (A.T.C.) is tied to Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where in Nevada is MR. YASUO FUKUDA (A.T.C.) registered?
Use Las Vegas, Nevada as the headline location for MR. YASUO FUKUDA (A.T.C.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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