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MR. KEISUKE MENJO NP-C
NPI 1386127355
Nurse Practitioner - Gerontology in Cerritos, CA

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment
12898 TOWNE CENTER DR, CERRITOS, CA 90703(562) 622-2800(562) 741-4479 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2019, Sep 14, 2018 (2 updates tracked since 2018).

About Mr. Keisuke Menjo Np-c NPPES

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

MR. KEISUKE MENJO NP-C (NPI 1386127355) is an individual gerontology provider in Cerritos, California, licensed in California (AG08180103) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386127355
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. KEISUKE MENJOCredential: NP-C
Location Address12898 TOWNE CENTER DRCerritos, CA 90703-8546
Mailing Address12900 Park Plaza Dr # 3150Cerritos, CA 90703-9329 · (562) 622-2800 · Fax (714) 741-4479
Phone(562) 622-2800
Fax(562) 741-4479
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2018
Last NPPES UpdateSeptember 27, 20192 updates tracked since enumeration
✔ NPI 1386127355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · AG08180103
12898 TOWNE CENTER DR, Cerritos, CA 90703
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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

Mr. Keisuke Menjo Np-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 ID4284966797
PECOS Enrollment IDI20191104001073
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 90703 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 13

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

BROOKE WHARTON LMFT
Marriage & Family Therapist
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (714) 713-1986
MRS. RONIC SHENAY TATUM NP
Nurse Practitioner (Family)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (310) 429-1387
MS. JACQUELINE SANTUILE CONSTANTINO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (562) 741-4420
MR. NEIL S COLLINS LMFT
Marriage & Family Therapist
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (657) 222-7523
MRS. ELIZABETH RODARTE-SALDANA LCSW
Social Worker (Clinical)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (840) 208-8199
MS. CATHERINE MARIE BUDDEMEYER ANP
Nurse Practitioner (Adult Health)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
LINDA M CHEUNG NP
Nurse Practitioner (Acute Care)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (323) 403-7158
KRISTINA LEE GREENBERG
Social Worker (Clinical)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (800) 331-1476

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 Keisuke Menjo's NPI number?

The NPI number for Keisuke Menjo is 1386127355. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Keisuke Menjo located?

Keisuke Menjo practices at 12898 Towne Center Dr, Cerritos, CA 90703. The listed phone number is (562) 622-2800.

What is Keisuke Menjo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Keisuke Menjo enrolled in Medicare?

Yes. Keisuke Menjo 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 Keisuke Menjo was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.