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

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
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: August 23, 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 and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1998).

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
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1998
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Nalani Otsuka M.d. 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 ID2860569886
PECOS Enrollment IDI20080917000369
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 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.

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
MIA NEPOMUCENO-PEREZ M.D.
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6422

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 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 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.