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KEVIN YOSHITOMU ODA PA-C
NPI 1316584477
Physician Assistant in West Covina, CA

Active since December 06, 2019PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 962-4011 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2022, Jun 8, 2020, Feb 4, 2020 and 1 more (4 updates tracked since 2019).

About Kevin Yoshitomu Oda Pa-c NPPES

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

KEVIN YOSHITOMU ODA PA-C (NPI 1316584477) is an individual physician assistant in West Covina, California, licensed in California (PA57562) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316584477
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN YOSHITOMU ODACredential: PA-C
Location Address1115 S SUNSET AVEWest Covina, CA 91790
Mailing Address1115 S Sunset AveWest Covina, CA 91790 · (626) 962-4011
Phone(626) 962-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 6, 2019
Last NPPES UpdateMay 19, 20224 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1316584477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA57562
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA57562 (CA)
1115 S SUNSET AVE, West Covina, CA 91790
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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 and accepts Medicare assignment

Kevin Yoshitomu Oda 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 ID2365879970
PECOS Enrollment IDI20200220001394
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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services105 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

MRS. CLAIRE MARIE TABARES FNP-C
Nurse Practitioner
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2547
MRS. SHANNON RIVERA PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
CATHARINE IRENE JORDAN REGISTERED NURSE
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2534
IVY KRISTINA ENVERGA PHARMD
Pharmacist
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2412
MICHELLE INGA
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
LAUREN CAROL GENTILE PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
TREVOR-TRUNG NGUYEN
Student in an Organized Health Care Education/Training Program
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
DR. DAVID J MICHELSON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011

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 Kevin Oda's NPI number?

The NPI number for Kevin Oda is 1316584477. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Kevin Oda located?

Kevin Oda practices at 1115 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 962-4011.

What is Kevin Oda's specialty?

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

Is Kevin Oda enrolled in Medicare?

Yes. Kevin Oda 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 Kevin Oda was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.