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MS. JUDITH KOMATSU N.P, L.A.C.
NPI 1346261005
Nurse Practitioner - Adult Health in Petaluma, CA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Judith Komatsu N.p, L.a.c. NPPES

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

MS. JUDITH KOMATSU N.P, L.A.C. (NPI 1346261005) is an individual adult health provider in Petaluma, California, licensed in California (21030) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346261005
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JUDITH KOMATSUCredential: N.P, L.A.C.
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7620
Phone(707) 559-7500
Fax(707) 559-7620
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 6, 2012
✔ NPI 1346261005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 21030
Also ListedAcupuncturistTaxonomy 171100000X · License CA7924 (CA)
1179 N MCDOWELL BLVD, Petaluma, CA 94954
Open in Google Maps ↗

Other Identifiers 1

OtherLA792HCA · Acupunturist

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

Ms. Judith Komatsu N.p, L.a.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 ID6709021462
PECOS Enrollment IDI20190207000869
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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
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.

REBECCA KATZ FINNEMORE MD
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
ROXANA INFANTE
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
HEIDI DITTRICH NP
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
VANESSA ISELA BERMUDEZ-VILLALPANDO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. ANDREW BURNS ASHCROFT M.D.
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. SHRADHA BIRADAR DO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
JARED ANDREW INING DDS
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
LORENA YANEZ-RAMIREZ ACSW
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500

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 Judith Komatsu's NPI number?

The NPI number for Judith Komatsu is 1346261005. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Judith Komatsu located?

Judith Komatsu practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Judith Komatsu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Judith Komatsu enrolled in Medicare?

Yes. Judith Komatsu 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 Judith Komatsu was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.