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KEN DEKITANI
NPI 1003376716
Internal Medicine in Los Angeles, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 267-7849 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, May 7, 2024, Aug 9, 2023 and 1 more (4 updates tracked since 2019).

About Ken Dekitani NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN DEKITANI (NPI 1003376716) is an individual internal medicine provider in Los Angeles, California, licensed in California (A176980) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003376716
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEN DEKITANI
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address757 Westwood PlzLos Angeles, CA 90095-7419 · (310) 267-7849
Phone(310) 267-7849
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1003376716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A176980
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
757 WESTWOOD PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 13543 Sidney StSaint Louis, MO 63104-1731 · Phone (310) 400-9249

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ken Dekitani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789047887
PECOS Enrollment IDI20230822003162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
BRITTANY CHY MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Dekitani's NPI number?

The NPI number for Ken Dekitani is 1003376716. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Ken Dekitani located?

Ken Dekitani practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-7849.

What is Ken Dekitani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ken Dekitani enrolled in Medicare?

Yes. Ken Dekitani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ken Dekitani was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.