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KODY WAKASA MD
NPI 1073315925
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 24, 2025PECOS Enrolled
2521 STOCKTON BLVD STE 7200, SACRAMENTO, CA 95817(916) 734-5005 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kody Wakasa Md NPPES

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

KODY WAKASA MD (NPI 1073315925) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073315925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKODY WAKASACredential: MD
Location Address2521 STOCKTON BLVD STE 7200Sacramento, CA 95817-2207
Mailing Address215 Darrell RdHillsborough, CA 94010-7109 · (650) 787-6234
Phone(916) 734-5005
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1073315925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2521 STOCKTON BLVD STE 7200, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kody Wakasa Md 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.

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.

DR. SHAMIT CHOPRA M.B.B.S, M.S.
Otolaryngology (Plastic Surgery within the Head & Neck)
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-6581
DR. EDWARD BRADLEY STRONG M.D.
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-8064
MISS JILL HAYNES AESTHETICIAN
Case Manager/Care Coordinator
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-2437
ANDREW CHO M.D.
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-2801
TOBY OLIVER STEELE M.D.
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-2801
JAMIE LAUREN FUNAMURA M.D.
Otolaryngology (Pediatric Otolaryngology)
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-8157
BEVERLY BOVEY GARBER NP
Nurse Practitioner
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-5400
YUVAL NACHALON MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-6581

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 Kody Wakasa's NPI number?

The NPI number for Kody Wakasa is 1073315925. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kody Wakasa located?

Kody Wakasa practices at 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817. The listed phone number is (916) 734-5005.

What is Kody Wakasa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kody Wakasa enrolled in Medicare?

Yes. Kody Wakasa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kody Wakasa was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.