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DR. GLEN TOMIO FUKUMURA M.D.
NPI 1437190139
Pediatrics in Long Beach, CA

Active since June 10, 2006PECOS Enrolled
4401 ATLANTIC AVE STE 300, LONG BEACH, CA 90807(562) 481-3500 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glen Tomio Fukumura M.d. NPPES

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

DR. GLEN TOMIO FUKUMURA M.D. (NPI 1437190139) is an individual pediatrics provider in Long Beach, California, licensed in California (A43686) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1437190139
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GLEN TOMIO FUKUMURACredential: M.D.
Location Address4401 ATLANTIC AVE STE 300Long Beach, CA 90807-2249
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(562) 481-3500
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1437190139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A43686
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4401 ATLANTIC AVE STE 300, Long Beach, CA 90807
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Secondary Practice Location 1

Location 12600 Redondo AveLong Beach, CA 90806-2329 · Phone (562) 988-7349 · Fax (562) 988-7190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen Tomio Fukumura 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 Reassignment

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

Healthcare Partners Affiliates Medical Group
15 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90807 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 10

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

DR. RESHMA GULATI AGGARWAL M.D.
Pediatrics
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
JETHRO JOHN V ESGUERRA RN, MSN, FNP-C
Nurse Practitioner (Family)
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
DR. ZINYING CHAO DNP, APRN, FNP-C
Nurse Practitioner (Family)
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
DR. TESFAYE WOLDE LEKA M.D.
Internal Medicine
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
MELISSA MERROW NURSE PRACTITIONER
Nurse Practitioner (Family)
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
AMANDA SHERIDAN MD
Obstetrics & Gynecology
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
DR. RUBINA HUSAIN M.D.
Internal Medicine
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500
BAO CHUNG M.D.
Family Medicine
4401 ATLANTIC AVE STE 300
LONG BEACH, CA 90807
Los Angeles County (562) 481-3500

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 Glen Fukumura's NPI number?

The NPI number for Glen Fukumura is 1437190139. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Glen Fukumura located?

Glen Fukumura practices at 4401 Atlantic Ave Ste 300, Long Beach, CA 90807. The listed phone number is (562) 481-3500.

What is Glen Fukumura's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Glen Fukumura enrolled in Medicare?

Yes. Glen Fukumura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glen Fukumura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Fukumura reassigns Medicare benefits to Healthcare Partners Affiliates 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 Glen Fukumura'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 Glen Fukumura was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.