BENJAMIN HIDEO TADOKORO L.C.S.W.
NPI 1053476044
Social Worker - Clinical in Sacramento, CA

Q: What is Benjamin Tadokoro's NPI number?

The NPI number for Benjamin Tadokoro is 1053476044. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Benjamin Tadokoro's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Tadokoro was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 27, 2006PECOS Enrolled

6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 688-6815 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Benjamin Hideo Tadokoro L.c.s.w. NPPES

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

BENJAMIN HIDEO TADOKORO L.C.S.W. (NPI 1053476044) is an individual clinical provider in Sacramento, California, licensed in California (LCS21546) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053476044

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBENJAMIN HIDEO TADOKOROCredential: L.C.S.W.

Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671

Mailing Address6600 Bruceville RdSacramento, CA 95823-4671 · (916) 688-6815

Phone(916) 688-6815

Sole ProprietorNo

Enumeration DateDecember 27, 2006

Last NPPES UpdateDecember 30, 2021

✔ NPI 1053476044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCS21546

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6600 BRUCEVILLE RD, Sacramento, CA 95823

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Hideo Tadokoro L.c.s.w. 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc

32 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 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

$0.00 typical visit price

range $60.44 – $180.85

Typical copayment $0.00 (range $15.11 – $45.21)

Most-billed visit code NA

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

SHANNON KENTERA CRNA

Nurse Anesthetist, Certified Registered