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DR. KELLIE MICHIKO KANAMOTO OD
NPI 1376018176
Optometrist in Calabasas, CA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
26585 AGOURA RD STE 270, CALABASAS, CA 91302(818) 431-4414 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2018, Oct 8, 2018 (2 updates tracked since 2018).

About Dr. Kellie Michiko Kanamoto Od NPPES

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

DR. KELLIE MICHIKO KANAMOTO OD (NPI 1376018176) is an individual optometrist in Calabasas, California, licensed in California (34122TLG) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Western University Of Health Sciences College Of Dental Med (2018).

NPPES Registry Identity

NPI1376018176
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLIE MICHIKO KANAMOTOCredential: OD
Location Address26585 AGOURA RD STE 270Calabasas, CA 91302-1958
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(818) 431-4414
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1376018176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34122TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
26585 AGOURA RD STE 270, Calabasas, CA 91302
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Secondary Practice Location 1

Location 1300 Stein Plaza 2nd FloorLos Angeles, CA 90095-1968 · Phone (310) 206-7955

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. Kellie Michiko Kanamoto Od 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 ID4880937861
PECOS Enrollment IDI20190514002071
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 5

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
58 services46 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
42 services36 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
35 services35 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
35 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91302 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 3

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

RONALD MANCINI MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
26585 AGOURA RD STE 270
CALABASAS, CA 91302
Los Angeles County (818) 431-4414
DR. MELODY KORDNAIJ OD
Optometrist
26585 AGOURA RD STE 270
CALABASAS, CA 91302
Los Angeles County (818) 431-4414
SALLY CHU OD
Optometrist
26585 AGOURA RD STE 270
CALABASAS, CA 91302
Los Angeles County (818) 431-4414

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 Kellie Kanamoto's NPI number?

The NPI number for Kellie Kanamoto is 1376018176. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Kellie Kanamoto located?

Kellie Kanamoto practices at 26585 Agoura Rd Ste 270, Calabasas, CA 91302. The listed phone number is (818) 431-4414.

What is Kellie Kanamoto's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kellie Kanamoto enrolled in Medicare?

Yes. Kellie Kanamoto 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 Kellie Kanamoto was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.