DR. KELLIE MICHIKO KANAMOTO OD
NPI 1376018176
Optometrist in Calabasas, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kellie Kanamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
CALABASAS, CA 91302
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.
Which organization bills Medicare for Kellie Kanamoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Kanamoto reassigns Medicare benefits to Jules Stein Eye Institute Medical Group (Los Angeles, CA). The 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 Kellie Kanamoto'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 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.
# Dr. Kellie Michiko Kanamoto, OD · NPI 1376018176
Optometrist provider in Calabasas, California. Individual provider, active in the CMS NPPES registry since October 8, 2018.
## Identity
- **NPI:** 1376018176 (Entity type: Individual)
- **Enumerated:** October 8, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34122TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 26585 AGOURA RD STE 270, Calabasas, CA 91302-1958
- **Phone:** (818) 431-4414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jules Stein Eye Institute Medical Group (NPI 1326006966, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2018
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376018176) · Data from the CMS NPPES public registry.