CHARLENE V. KAKIMOTO, MD, INC
NPI 1083104012
Dermatology - Clinical & Laboratory Dermatological Immunology in Coronado, CA
About Charlene V. Kakimoto, Md, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLENE V. KAKIMOTO, MD, INC (NPI 1083104012) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Coronado, California and active in the NPI registry since May 2018. The organization lists Sirena Ferguson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlene V. Kakimoto, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Charlene V. Kakimoto, MD, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Charlene V. Kakimoto, MD, Inc's NPI number?
The NPI number for Charlene V. Kakimoto, MD, Inc is 1083104012. It was assigned to this organization in the NPPES registry on May 15, 2018.
Where is Charlene V. Kakimoto, MD, Inc located?
Charlene V. Kakimoto, MD, Inc is located at 230 Prospect Pl Ste 260, Coronado, CA 92118. The listed phone number is (619) 437-1146.
What is Charlene V. Kakimoto, MD, Inc's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.
Is Charlene V. Kakimoto, MD, Inc enrolled in Medicare?
Yes. Charlene V. Kakimoto, MD, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charlene V. Kakimoto, MD, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Charlene V. Kakimoto, MD, Inc. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Charlene V. Kakimoto, MD, Inc was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Charlene V. Kakimoto, Md, Inc · NPI 1083104012
Clinical & Laboratory Dermatological Immunology organization in Coronado, California. Organization record, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1083104012 (Entity type: Organization)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Dermatology - Clinical & Laboratory Dermatological Immunology · taxonomy 207NI0002X
- **Organization subpart:** No
- **Authorized official:** Sirena Ferguson, OFFICE MANAGER
## Practice location
- **Address:** 230 PROSPECT PL STE 260, Coronado, CA 92118-1987
- **Phone:** (619) 437-1146 · **Fax:** (619) 437-1912
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1083104012) · Data from the CMS NPPES public registry.