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DR. CYNTHIA CHIZUKO KODAMA D.O.
NPI 1013166503
Neuromusculoskeletal Medicine & OMM in South Pasadena, CA

Active since September 09, 2008PECOS Enrolled
1499 HUNTINGTON DR STE 418, SOUTH PASADENA, CA 91030(626) 460-8398 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Cynthia Chizuko Kodama D.o. NPPES

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

DR. CYNTHIA CHIZUKO KODAMA D.O. (NPI 1013166503) is an individual neuromusculoskeletal medicine & omm provider in South Pasadena, California, licensed in California (20A10411) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013166503
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. CYNTHIA CHIZUKO KODAMACredential: D.O.
Location Address1499 HUNTINGTON DR STE 418South Pasadena, CA 91030-5459
Mailing Address1363 Pebble Hurst StMonterey Park, CA 91754-4422 · (323) 791-9867
Phone(626) 460-8398
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 9, 2008
Last NPPES UpdateApril 21, 2024
NPPES CertifiedApril 21, 2024
✔ NPI 1013166503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · 20A10411
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 20A10411 (CA)
1499 HUNTINGTON DR STE 418, South Pasadena, CA 91030
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Other Names 1

Other Name (5)Cindi Kodama D.o.

Other Identifiers 1

OtherB4719516CA · Driver's License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cynthia Chizuko Kodama D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981741238
PECOS Enrollment IDI20091022000566
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.

Medicare Billing Reassignment

Medicare enrollment records show Cynthia Kodama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cynthia Kodama, Inc
20 mi
Clinic/Center
2104 WILSHIRE BLVD
Santa Monica, CA 90403
  • Reassigned Medicare billing, California enrollment
NPI 1003231101 (310) 882-8258

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services20 patients
Osteopathic manipulative treatment, 7-8 body regions 98928
Osteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.
111 services22 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
81 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services14 patients

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 Cynthia Kodama's NPI number?

The NPI number for Cynthia Kodama is 1013166503. It was assigned to this individual provider in the NPPES registry on September 9, 2008. The provider is also known as Cindi Kodama D.O..

Where is Cynthia Kodama located?

Cynthia Kodama practices at 1499 Huntington Dr Ste 418, South Pasadena, CA 91030. The listed phone number is (626) 460-8398.

What is Cynthia Kodama's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Cynthia Kodama enrolled in Medicare?

Yes. Cynthia Kodama is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cynthia Kodama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Kodama reassigns Medicare benefits to Cynthia Kodama, Inc (Santa Monica, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Kodama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Kodama was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.