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TINA SHIZUKO KAMI
NPI 1063990133
Nurse Practitioner - Family in Anaheim, CA

Active since August 01, 2018PECOS Enrolled
3356 W BALL RD STE 100, ANAHEIM, CA 92804(714) 827-6625(714) 827-9726 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2019, Aug 1, 2018 (2 updates tracked since 2018).

About Tina Shizuko Kami NPPES

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

TINA SHIZUKO KAMI (NPI 1063990133) is an individual family provider in Anaheim, California, licensed in California (NPF95009496) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1063990133
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA SHIZUKO KAMI
Location Address3356 W BALL RD STE 100Anaheim, CA 92804-3727
Mailing Address2509 S Deegan DrSanta Ana, CA 92704-5504 · (714) 612-3158
Phone(714) 827-6625
Fax(714) 827-9726
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
✔ NPI 1063990133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NPF95009496
3356 W BALL RD STE 100, Anaheim, CA 92804
Open in Google Maps ↗

Secondary Practice Location 1

Location 12509 S Deegan DrSanta Ana, CA 92704-5504 · Phone (714) 612-3158

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Shizuko Kami 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 92804 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUNEFAITH CANGREJO ISMAGIL FNP
Registered Nurse (General Practice)
3356 W BALL RD STE 100
ANAHEIM, CA 92804
Orange County (714) 827-6625

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 Tina Kami's NPI number?

The NPI number for Tina Kami is 1063990133. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Tina Kami located?

Tina Kami practices at 3356 W Ball Rd Ste 100, Anaheim, CA 92804. The listed phone number is (714) 827-6625.

What is Tina Kami's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Kami enrolled in Medicare?

Yes. Tina Kami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Kami was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.