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KENJI IRIE MD
NPI 1689778128
General Practice in Los Angeles, CA

Active since September 12, 2006PECOS Enrolled
420 E THIRD ST, SUITE 903, LOS ANGELES, CA 90013(213) 617-0266(213) 617-7332 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenji Irie Md NPPES

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

KENJI IRIE MD (NPI 1689778128) is an individual general practice provider in Los Angeles, California, licensed in California (A30886) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689778128
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKENJI IRIECredential: MD
Location Address420 E THIRD ST, SUITE 903Los Angeles, CA 90013
Mailing Address420 E Third St, Suite 903Los Angeles, CA 90013 · (213) 617-0266 · Fax (213) 617-7332
Phone(213) 617-0266
Fax(213) 617-7332
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689778128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A30886
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
420 E THIRD ST, Los Angeles, CA 90013
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedA30886CA
Medicare UPINA26270

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenji Irie Md 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.

Other Providers at the Same Location NPPES

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

TAKUMI J KAGAWA DDS
Dentist (Prosthodontics)
420 E THIRD ST, SUITE #1008
LOS ANGELES, CA 90013
Los Angeles County (213) 625-7141

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 Irie's NPI number?

The NPI number for Kenji Irie is 1689778128. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Kenji Irie located?

Kenji Irie practices at 420 E Third St Suite 903, Los Angeles, CA 90013. The listed phone number is (213) 617-0266.

What is Kenji Irie's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kenji Irie enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenji Irie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.