Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Kevin T Kodama
| City Fresno                    | 
| Group SANTE PHYSICIANS CAPITATED                                                                           | 
| Specialty Gastroenterology                                   | 
| Last Name Kodama                                                             | 
| First Name Kevin                                              | 
| Middle Name T          | 
| Address 1189 E. Herndon Ave. Ste 101             | 
| State CA | 
| Zip Code 93720     | 
| Phone (559)440-0450  | 
| Hours Mon - Wed 8:00 AM - 5:00 PM Thu 8:00 AM - 6:00 PM Fri 8:00 AM - 5:00 PM                                                  | 
| Gender M | 
| Title M.D.    | 
| Physician ID   079949        | 
| Section Number 4 | 
| County FRESNO | 
| Accepting New Patient Yes | 
| PPG NAME SANTE PHYSICIANS CAPITATED                                             | 
| PPG ID MFRH3 | 
| NPI Number   1750395828  | 
| Access Requirement Basic   | 
| PARKING_IND P | 
| EXT_BUILD_IND EB | 
| INT_BUILD_IND IB | 
| RESTROOM_IND R | 
| EXAMROOM_IND E | 
| EXAMTBL_IND T | 
| License ID G078832            | 
| Board Certified No | 
| Self Access Flag Self Reported Data | 
| Panel Status Available by referral only | 
| Afterhour Phone (559) 440-0450       | 
| PHY CCT IND N | 


