KYLE SCOTT NAKAMOTO PA-C
NPI 1154831915
Physician Assistant in Orange, CA

Active since October 06, 2017PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8888 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2024, Mar 24, 2021, Dec 23, 2019 and 2 more (5 updates tracked since 2018).

About Kyle Scott Nakamoto Pa-c NPPES

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

KYLE SCOTT NAKAMOTO PA-C (NPI 1154831915) is an individual physician assistant in Orange, California, licensed in California (56965) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154831915
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE SCOTT NAKAMOTOCredential: PA-C
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address6801 Park Ter Ste 500Los Angeles, CA 90045-9212 · (310) 665-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 6, 2017
Last NPPES UpdateSeptember 20, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1154831915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · 56965 Licensed in ID · PA-1564
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

101 THE CITY DR S, Orange, CA 92868

Secondary Practice Locations 2

Location 16801 Park Ter Ste 500Los Angeles, CA 90045-9212 · Phone (310) 665-7200 · Fax (714) 937-1814
Location 22400 E Katella Ave Ste 400Anaheim, CA 92806-5972 · Phone (310) 665-7200 · Fax (714) 937-1814

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

Kyle Scott Nakamoto Pa-c 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 ID3375804750
PECOS Enrollment IDI20200206002954
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 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Kyle Nakamoto's NPI number?

The NPI number for Kyle Nakamoto is 1154831915. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Kyle Nakamoto located?

Kyle Nakamoto practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.

What is Kyle Nakamoto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Nakamoto enrolled in Medicare?

Yes. Kyle Nakamoto 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 Kyle Nakamoto was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.