DR. KEVIN JIRO KOMATSU DDS
NPI 1497943237
Dentist - General Practice in Los Angeles, CA

Q: What is Kevin Komatsu's NPI number?

The NPI number for Kevin Komatsu is 1497943237. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Q: What is Kevin Komatsu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Komatsu was last updated on October 5, 2007. 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.

Active since October 05, 2007PECOS Enrolled

10584 W PICO BLVD, LOS ANGELES, CA 90064(310) 837-2000(310) 837-7953 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin Jiro Komatsu Dds NPPES

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

DR. KEVIN JIRO KOMATSU DDS (NPI 1497943237) is an individual general practice provider in Los Angeles, California, licensed in California (42170) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497943237

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN JIRO KOMATSUCredential: DDS

Location Address10584 W PICO BLVDLos Angeles, CA 90064-2332

Mailing Address10584 W Pico BlvdLos Angeles, CA 90064-2332 · (310) 837-2000 · Fax (310) 837-7953

Phone(310) 837-2000

Fax(310) 837-7953

Sole ProprietorNo

Enumeration DateOctober 5, 2007

✔ NPI 1497943237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 42170

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10584 W PICO BLVD, Los Angeles, CA 90064

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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 (PECOS)

Dr. Kevin Jiro Komatsu Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kevin Komatsu's NPI number?

The NPI number for Kevin Komatsu is 1497943237. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Kevin Komatsu located?

Kevin Komatsu practices at 10584 W Pico Blvd, Los Angeles, CA 90064. The listed phone number is (310) 837-2000.

What is Kevin Komatsu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Komatsu enrolled in Medicare?

Yes. Kevin Komatsu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Komatsu was last updated on October 5, 2007. 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.