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

Active since June 13, 2007PECOS Enrolled
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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Doreen Lanae Fukushima Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436273919
PECOS Enrollment IDI20251107004201
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 Reassignments

5

Medicare enrollment records show Doreen Fukushima reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Achievements Unlimited Clinical Psychology Services, Inc.
41 mi
Community/Behavioral Health
512 N COURT ST
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1972953875 (559) 203-3775
County Of Kern
103 mi
Adult Mental Health
2525 N CHESTER AVE, A,B,C, H
Bakersfield, CA 93308
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1477744217 (661) 868-1840
Kern County Hospital Authority
106 mi
Federally Qualified Health Center (FQHC)
820 34TH ST, SUITE 202
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 532 clinicians in this Medicare group
NPI 1164974739 (661) 326-2000
Pali Momi Medical Center
2,523 mi
Multi-Specialty
98-1079 MOANALUA RD
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
  • 134 clinicians in this Medicare group
NPI 1275588329 (808) 486-6000
Kauai Medical Clinic
2,578 mi
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 clinicians in this Medicare group
NPI 1376596643 (808) 245-1500

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

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

Other Providers at the Same Location NPPES

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

LAURA RAMIREZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
180 W BULLARD AVE STE 104
CLOVIS, CA 93612
Fresno County (559) 203-3050

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 enrollment system.

Which organizations bill Medicare for Doreen Fukushima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doreen Fukushima reassigns Medicare benefits to 5 organizations: Achievements Unlimited Clinical Psychology Services, Inc. (Visalia, CA), County Of Kern (Bakersfield, CA), Kern County Hospital Authority (Bakersfield, CA), Pali Momi Medical Center (Aiea, HI) and Kauai Medical Clinic (Lihue, HI). Each 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 Doreen Fukushima'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 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 12 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.