CHISATO KOMATSU BCBA-D, PH.D.
NPI 1073885034
Psychologist - Clinical in Culver City, CA

Q: 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.

Q: What is Chisato Komatsu's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: 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 16 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.

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment

10736 JEFFERSON BLVD # 1046, CULVER CITY, CA 90230(323) 285-2221 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1073885034

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCHISATO KOMATSUCredential: BCBA-D, PH.D.

Location Address10736 JEFFERSON BLVD # 1046Culver City, CA 90230-4933

Mailing Address6210 Bristol Pkwy Apt 206Culver City, CA 90230-6925 · (213) 407-9048

Phone(323) 285-2221

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateFebruary 6, 2012

Last NPPES UpdateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1073885034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 28666

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-08-4103

Also ListedPsychologistTaxonomy 103T00000X · License 28666 (CA)

10736 JEFFERSON BLVD # 1046, Culver City, CA 90230

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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 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.

PECOS PAC ID547628893

PECOS Enrollment IDI20230731001050

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 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.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

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.

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.

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 16 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.