Jason Kakuzo Ichimaru
OTR/L | Occupational Therapist | 9+ years Exp
39650 Liberty St, Fremont
California, 94538-2223
510-498-3900 Maps & DirectionsJason Kakuzo Ichimaru is a Fremont, California based therapist with 9 years of experience in Occupational Therapy. He completed his graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. His current practice location is 39650 Liberty St, Fremont. Patients can reach him at 510-498-3900. Jason Kakuzo Ichimaru is OTR/L in Occupational Therapy and his NPI number (Unique professional ID assigned by NPPES) is 1922514124.
Jason Kakuzo Ichimaru provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Jason Kakuzo Ichimaru speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jason Kakuzo Ichimaru |
| Specialization: | Occupational Therapy |
| Gender: | Male |
| Credentials: | OTR/L |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 39650 Liberty St, Fremont,
California, 94538-2223 |
| Phone: | 510-498-3900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2860741873 |
| Enrollment ID: | I20180824001539 |
| NPI Number: | 1922514124 |
| NPI Enumeration Date: | 26 Dec, 2017 |
| NPI Last Update On: | 20 Jan, 2022 |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jason Kakuzo Ichimaru is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sutter Bay Medical Foundation (4284538778) | 2721 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jason Kakuzo Ichimaru such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 18145 | Other | California | CBOT |
| 392634 | Other | | NBCOT |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jason Kakuzo Ichimaru
325 Distel Cir,
Los Altos, California |
| Zip: | 94022-1408 |
| Phone Number: | 510-498-3900 |
Patients can reach Jason Kakuzo Ichimaru at
39650 Liberty St, Fremont, California or can
call to book an appointment on 510-498-3900.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.