CHISATO KOMATSU BCBA-D, PH.D.
NPI 1073885034
Psychologist - Clinical in Culver City, CA
About Chisato Komatsu Bcba-d, Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHISATO KOMATSU BCBA-D, PH.D. (NPI 1073885034) is an individual clinical provider in Culver City, California, licensed in California (28666) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 3
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
Chisato Komatsu Bcba-d, Ph.d. 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 Chisato Komatsu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culver City, CA 90230
- Reassigned Medicare billing, California enrollment
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 90230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Chisato Komatsu's NPI number?
The NPI number for Chisato Komatsu is 1073885034. It was assigned to this individual provider in the NPPES registry on February 6, 2012.
Where is Chisato Komatsu located?
Chisato Komatsu practices at 10736 Jefferson Blvd # 1046, Culver City, CA 90230. The listed phone number is (323) 285-2221.
What is Chisato Komatsu's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Chisato Komatsu enrolled in Medicare?
Yes. Chisato Komatsu 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 Chisato Komatsu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chisato Komatsu reassigns Medicare benefits to Chisato Komatsu Psychology Inc. (Culver City, 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 Chisato Komatsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chisato Komatsu was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Chisato Komatsu, BCBA-D, PH.D. · NPI 1073885034
Clinical provider in Culver City, California. Individual provider, active in the CMS NPPES registry since February 6, 2012.
## Identity
- **NPI:** 1073885034 (Entity type: Individual)
- **Enumerated:** February 6, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 28666 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10736 JEFFERSON BLVD # 1046, Culver City, CA 90230-4933
- **Phone:** (323) 285-2221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Chisato Komatsu Psychology Inc. (NPI 1205545910, Culver City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073885034) · Data from the CMS NPPES public registry.