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DR. DOREEN LANAE FUKUSHIMA MD
NPI 1205030111
Psychiatry & Neurology - Psychiatry in Clovis, CA

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
86.27/100
CMS Quality Rating
180 W BULLARD AVE STE 104, CLOVIS, CA 93612(559) 203-3775(559) 326-0607 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Dr. Doreen Lanae Fukushima Md NPPES

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

DR. DOREEN LANAE FUKUSHIMA MD (NPI 1205030111) is an individual psychiatry provider in Clovis, California, licensed in Hawaii (MDR5045) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pearl City, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205030111
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DOREEN LANAE FUKUSHIMACredential: MD
Location Address180 W BULLARD AVE STE 104Clovis, CA 93612-0998
Mailing Address98-1813 Hapaki StAiea, HI 96701-1633 · (209) 629-7490 · Fax (351) 200-8379
Phone(559) 203-3775
Fax(559) 326-0607
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1205030111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in HI · MDR5045✔ Licensed in CA · A124200
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
180 W BULLARD AVE STE 104, Clovis, CA 93612
Open in Google Maps ↗

Secondary Practice Location 1

Location 1803 Kamehameha Highway, Suite 400, 402, 404Pearl City, HI 96782 · Phone (808) 347-1645 · Fax (351) 200-8379

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

Dr. Doreen Lanae Fukushima Md 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 ID9436273919
PECOS Enrollment IDI20191220002341
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 93612 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.87
Promoting Interoperability100
Improvement Activities40
Cost71.37

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 Doreen Fukushima's NPI number?

The NPI number for Doreen Fukushima is 1205030111. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Doreen Fukushima located?

Doreen Fukushima practices at 180 W Bullard Ave Ste 104, Clovis, CA 93612. The listed phone number is (559) 203-3775.

What is Doreen Fukushima's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Doreen Fukushima enrolled in Medicare?

Yes. Doreen Fukushima 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 Doreen Fukushima was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.