KIMIKO AGARI
NPI 1043665219
Oral & Maxillofacial Surgery in Los Angeles, CA
About Kimiko Agari NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMIKO AGARI (NPI 1043665219) is an individual oral & maxillofacial surgery provider in Los Angeles, California, licensed in California (DDS100623) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimiko Agari 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimiko Agari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 Kimiko Agari's NPI number?
The NPI number for Kimiko Agari is 1043665219. It was assigned to this individual provider in the NPPES registry on April 25, 2016.
Where is Kimiko Agari located?
Kimiko Agari practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (209) 482-7872.
What is Kimiko Agari's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Kimiko Agari enrolled in Medicare?
Yes. Kimiko Agari 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.
Which organization bills Medicare for Kimiko Agari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimiko Agari reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Kimiko Agari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimiko Agari accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kimiko Agari 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 Kimiko Agari was last updated on January 20, 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.
# Kimiko Agari · NPI 1043665219
Oral & Maxillofacial Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 25, 2016.
## Identity
- **NPI:** 1043665219 (Entity type: Individual)
- **Enumerated:** April 25, 2016
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** DDS100623 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, Los Angeles, CA 90089-1001
- **Phone:** (209) 482-7872
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043665219) · Data from the CMS NPPES public registry.