KIMI YAMAMOTO
NPI 1013787290
Dentist - Orofacial Pain in Los Angeles, CA

Active since January 08, 2024PECOS Enrolled
808 W 58TH ST, LOS ANGELES, CA 90037(323) 285-9830 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimi Yamamoto NPPES

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

KIMI YAMAMOTO (NPI 1013787290) is an individual orofacial pain provider in Los Angeles, California, licensed in California (109797) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013787290
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameKIMI YAMAMOTO
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 285-9830
Sole ProprietorYes
Enumeration DateJanuary 8, 2024
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1013787290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License Licensed in CA · 109797
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
808 W 58TH ST, Los Angeles, CA 90037

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimi Yamamoto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90037 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037

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 Kimi Yamamoto's NPI number?

The NPI number for Kimi Yamamoto is 1013787290. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Kimi Yamamoto located?

Kimi Yamamoto practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 285-9830.

What is Kimi Yamamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Kimi Yamamoto enrolled in Medicare?

Yes. Kimi Yamamoto is registered in the Medicare PECOS enrollment system.

What insurance does Kimi Yamamoto accept?

Health plans from Humana list Kimi Yamamoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimi Yamamoto was last updated on January 9, 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.