Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEN KITAYAMA MD
NPI 1285297317
Ophthalmology in Los Angeles, CA

Q: What is Ken Kitayama's NPI number?

The NPI number for Ken Kitayama is 1285297317. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Ken Kitayama's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ken Kitayama was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since April 15, 2019PECOS Enrolled

100 STEIN PLZ, LOS ANGELES, CA 90095(310) 825-3090 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Jul 7, 2020, Apr 15, 2019 (3 updates tracked since 2019).

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About Dr. Ken Kitayama Md NPPES

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

DR. KEN KITAYAMA MD (NPI 1285297317) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A204611) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285297317

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. KEN KITAYAMACredential: MD

Location Address100 STEIN PLZLos Angeles, CA 90095-7007

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-3090

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 15, 2019

Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1285297317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A204611

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

100 STEIN PLZ, Los Angeles, CA 90095

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ken Kitayama Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062983489

PECOS Enrollment IDI20260608000148

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 90095 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

DR. STEPHAN YUAN-YEE CHIU M.D.

Ophthalmology

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-3090

KELSEY ANDREA ROELOFS MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-3090

KETAKI MILIND PANSE MD

Ophthalmology

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-3090

JONATHAN HESTON

Ophthalmology

100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5000

SHERWIN ISENBERG M.D.

Ophthalmology

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-8840

MR. ROGER DUNCAN JOHNSON JR. M.D.

Ophthalmology

100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5000

BRIAN ADRIAN LEE M.D.

Ophthalmology

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-3090

JAFFER MUHANNAD KATTAN M.D.

Ophthalmology

100 STEIN PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-3090

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 Ken Kitayama's NPI number?

The NPI number for Ken Kitayama is 1285297317. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Ken Kitayama located?

Ken Kitayama practices at 100 Stein Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-3090.

What is Ken Kitayama's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ken Kitayama enrolled in Medicare?

Yes. Ken Kitayama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ken Kitayama was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.