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DR. KIMBERLY NALANI OTSUKA M.D.
NPI 1376745018
Pediatrics - Pediatric Pulmonology in Loma Linda, CA

Active since June 04, 2007PECOS Enrolled
85.18/100
CMS Quality Rating
11370 ANDERSON ST, SUITE B100, LOMA LINDA, CA 92354(909) 558-2848(909) 558-2176 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kimberly Nalani Otsuka M.d. NPPES

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

DR. KIMBERLY NALANI OTSUKA M.D. (NPI 1376745018) is an individual pediatric pulmonology provider in Loma Linda, California, licensed in California (A104961) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376745018
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. KIMBERLY NALANI OTSUKACredential: M.D.
Location Address11370 ANDERSON ST, SUITE B100Loma Linda, CA 92354-3450
Mailing Address11175 Campus St, Cp A1120Loma Linda, CA 92350-1700 · (909) 558-8626 · Fax (909) 558-0479
Phone(909) 558-2848
Fax(909) 558-2176
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 24, 2008
✔ NPI 1376745018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in CA · A104961✔ Licensed in AZ · 29579
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
11370 ANDERSON ST, Loma Linda, CA 92354
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Other Identifiers 1

Medicare UPINH49172AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Nalani Otsuka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Otsuka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Neurological Surgery
11370 ANDERSON ST, SUITE 2600
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1194775122 (909) 558-2055
Sac Health System
3.9 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA VILLAFRANCO
Social Worker (Clinical)
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-5978
JOHN Y KIM M.D.
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
EDMUND YUEY KUN KO M.D.
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2830
SNORRI OLAFSSON M.D.
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2191
SIGVE K. TONSTAD M.D.
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2870
KHASHAYAR DASHTIPOUR M.D.
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2880
DOUGLAS DEMING M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2848
ABEL TORRES M.D.
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2055

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 Kimberly Otsuka's NPI number?

The NPI number for Kimberly Otsuka is 1376745018. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Kimberly Otsuka located?

Kimberly Otsuka practices at 11370 Anderson St Suite B100, Loma Linda, CA 92354. The listed phone number is (909) 558-2848.

What is Kimberly Otsuka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kimberly Otsuka enrolled in Medicare?

Yes. Kimberly Otsuka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Otsuka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Otsuka reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). Each 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 Kimberly Otsuka'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 Kimberly Otsuka was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.