DR. KENJI INABA
NPI 1407991326
Surgery - Surgical Critical Care in Los Angeles, CA

Active since February 20, 2007PECOS Enrolled
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-6254 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2020, Jul 19, 2018, Dec 10, 2015 (3 updates tracked since 2015).

About Dr. Kenji Inaba NPPES

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

DR. KENJI INABA (NPI 1407991326) is an individual surgical critical care provider in Los Angeles, California, licensed in California (A91756) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1407991326
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. KENJI INABA
Location Address1500 SAN PABLO STLos Angeles, CA 90033
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-6254
Sole ProprietorNo
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1407991326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in CA · A91756
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1500 SAN PABLO ST, Los Angeles, CA 90033

Secondary Practice Location 1

Location 12051 Marengo St, Inpatient Tower, C5L100Los Angeles, CA 90033-1352 · Phone (323) 409-8597 · Fax (323) 441-9907

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenji Inaba 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 Reassignment

Medicare enrollment records show Kenji Inaba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 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.

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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

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 Kenji Inaba's NPI number?

The NPI number for Kenji Inaba is 1407991326. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Kenji Inaba located?

Kenji Inaba practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-6254.

What is Kenji Inaba's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Kenji Inaba enrolled in Medicare?

Yes. Kenji Inaba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenji Inaba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenji Inaba reassigns Medicare benefits to Usc Care Medical Group, Inc (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 Kenji Inaba'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 Kenji Inaba was last updated on November 27, 2023. 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.