KIMIKO AGARI
NPI 1043665219
Oral & Maxillofacial Surgery in Los Angeles, CA

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90089(209) 482-7872 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1043665219
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameKIMIKO AGARI
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address6213 Embarcadero DrStockton, CA 95219-3823
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 25, 2016
Last NPPES UpdateJanuary 20, 2024
NPPES CertifiedJanuary 20, 2024
NPI 1043665219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · DDS100623
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1200 N STATE ST, Los Angeles, CA 90089

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 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.

PECOS PAC ID7416303318
PECOS Enrollment IDI20240404001681
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.

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.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Obstetrics & Gynecology
1200 N STATE ST
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.

What insurance does Kimiko Agari accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer 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.