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DAVID KOKUBUN
NPI 1558029827
Physician Assistant in Fullerton, CA

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment
2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 449-7400 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Kokubun NPPES

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

DAVID KOKUBUN (NPI 1558029827) is an individual physician assistant in Fullerton, California and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558029827
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID KOKUBUN
Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1615
Mailing Address1319 Vista GrandeFullerton, CA 92835-2832
Phone(714) 449-7400
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 3, 2021
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 3, 2021
✔ NPI 1558029827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2575 YORBA LINDA BLVD, Fullerton, CA 92831
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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

David Kokubun 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 ID5294186458
PECOS Enrollment IDI20240111004059
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 92831 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.

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.

RACHEL JONES
Physician Assistant (Medical)
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
ONELKA DEVHARA DUNSFORD
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
HANNAH HAHN
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
AMY WU
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (213) 550-7936
CASSIDY SPILLETT
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
DR. REGINA SEEN WON GARRIOTT O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7870
GUADALUPE VEGA
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
RILEY BENNYWORTH
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400

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 David Kokubun's NPI number?

The NPI number for David Kokubun is 1558029827. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is David Kokubun located?

David Kokubun practices at 2575 Yorba Linda Blvd, Fullerton, CA 92831. The listed phone number is (714) 449-7400.

What is David Kokubun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Kokubun enrolled in Medicare?

Yes. David Kokubun 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 David Kokubun was last updated on December 22, 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.