Dr. Nicole Yuko Wakimoto, MD
Dr. Nicole Yuko Wakimoto, MD is registered under Family Practice in Torrance, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
21311 Madrona Ave Ste 100ATorrance, CA 90503-5970
Phone: (310) 792-4400
Fax: (424) 212-5975
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A197883 (CA) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence A197883 (CA) |
Record details
| NPI number | 1780251157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 5, 2021 |
| Last updated in NPPES | November 15, 2024 |
| Certification date | November 15, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Providence Medical Institute — 336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Procedures
| Removal of tissue | 1–10 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 43 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $178 |
|---|
Practises at
- Providence Little Company Of Mary Med Ctr Torrance Hospital · Torrance, CA · listed as Providence Little Company of Mary, Torrance
- Torrance Memorial Medical Center Hospital · Torrance, CA
Colleagues at Providence Medical Institute
- Julie Delilly, MD Pulmonary Disease Physician · Redondo Beach, CA
- Dana Jeong, PA-C Physician Assistant · Mission Hills, CA
- Lydia R Kim, MD Dermatology Physician · Stockton, CA
- Jacqueline L. Kraetzer, NP Acute Care Nurse Practitioner · Santa Monica, CA
- Dr. Mike Quoc Chau La, MD Internal Medicine Physician · Santa Monica, CA
- Jennifer Faith Marzan, PA-C Medical Physician Assistant · Redondo Beach, CA
- Yih-Lin Nien, MD Neurology Physician · Torrance, CA
- Tsuyoshi Okawa, MD Internal Medicine Physician · Redondo Beach, CA
- Tobias Pusch, MD Internal Medicine Physician · Portland, OR
- MS. Carmel Nichole Raphael, PA Physician Assistant · Los Angeles, CA
- Mai Tang Registered Dietitian · Redondo Beach, CA
- Claude Tonnerre, MD Infectious Disease Physician · Missoula, MT
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Warmdoc Inc
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Donald Weinstein, MD
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Winnel Inc
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