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DAMARIS KITHEKA
NPI 1144996240
Nurse Practitioner - Psychiatric/Mental Health in San Pablo, CA

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
13585 SAN PABLO AVE, SAN PABLO, CA 94806(510) 942-4711 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2023, Oct 5, 2021, Aug 18, 2021 (3 updates tracked since 2021).

About Damaris Kitheka NPPES

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

DAMARIS KITHEKA (NPI 1144996240) is an individual psychiatric/mental health provider in San Pablo, California, licensed in California (NP95022878) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144996240
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAMARIS KITHEKA
Location Address13585 SAN PABLO AVESan Pablo, CA 94806-3863
Mailing Address2361 Josiah Wing DrFairfield, CA 94533-8974 · (510) 290-0272
Phone(510) 942-4711
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2021
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1144996240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95022878
Also ListedRegistered NurseTaxonomy 163W00000X · License 781943 (CA)
13585 SAN PABLO AVE, San Pablo, CA 94806
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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

Damaris Kitheka 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 ID3577910355
PECOS Enrollment IDI20231116000475
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.

Medicare Billing Reassignment

Medicare enrollment records show Damaris Kitheka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Contra Costa County
Same address
Family Planning, Non-Surgical
13601 SAN PABLO AVE
San Pablo, CA 94806
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1417036484 (925) 957-5429

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services19 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94806 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

MS. ERIN CAITLIN KILPATRICK LMFT
Marriage & Family Therapist
13585 SAN PABLO AVE, FIRST FLOOR
SAN PABLO, CA 94806
Contra Costa County (510) 942-4610
SHANA JOHNSON ACSW
Social Worker
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (818) 521-8614
AMELIA QURAISY ARIFIN
Marriage & Family Therapist
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4600
TAMICHA CHARMAINE BELL
Day Training/Habilitation Specialist
13585 SAN PABLO AVE
RICHMOND, CA 94806
Contra Costa County (510) 942-4700
JALEESA JEFFERY
Social Worker (Clinical)
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 854-0720
ROSA JENNIFER COLIN
Social Worker (Clinical)
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (925) 839-3136
MAI MCGUIRE-TRAN
Marriage & Family Therapist
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4700
MS. VAN BICH LY
Student in an Organized Health Care Education/Training Program
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4600

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 Damaris Kitheka's NPI number?

The NPI number for Damaris Kitheka is 1144996240. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Damaris Kitheka located?

Damaris Kitheka practices at 13585 San Pablo Ave, San Pablo, CA 94806. The listed phone number is (510) 942-4711.

What is Damaris Kitheka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Damaris Kitheka enrolled in Medicare?

Yes. Damaris Kitheka 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 Damaris Kitheka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damaris Kitheka reassigns Medicare benefits to Contra Costa County (San Pablo, 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 Damaris Kitheka'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 Damaris Kitheka was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.