# DEAN JARED YAMAGUCHI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316016397
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 2013-01240 | NC | — |
| 208600000X | Surgery Physician | TRN10139 | FL | — |
| 2086S0129X | Vascular Surgery Physician | 2013-01204 | NC | Yes |
| 2086S0129X | Vascular Surgery Physician | 345107 | LA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 05/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316016397 | — | NC |
| 01 | — | 179P0 | BCBSNC | NC |
| 01 | — | 511378 | UF RESIDENT PROVIDER NO. | FL |