MRS. EMI KOMAKI
NPI 1689961476
Psychologist - Clinical in Coalinga, CA

Q: What is Emi Komaki's NPI number?

The NPI number for Emi Komaki is 1689961476. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Emi Komaki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Emi Komaki was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 30, 2011PECOS Enrolled

24511 W JAYNE AVE, COALINGA, CA 93210(559) 934-8220 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Emi Komaki NPPES

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

MRS. EMI KOMAKI (NPI 1689961476) is an individual clinical provider in Coalinga, California, licensed in California (29956) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689961476

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. EMI KOMAKI

Location Address24511 W JAYNE AVECoalinga, CA 93210-9503

Mailing Address24511 W Jayne AveCoalinga, CA 93210-9503 · (559) 934-8220

Phone(559) 934-8220

Sole ProprietorNo

Enumeration DateJune 30, 2011

Last NPPES UpdateApril 3, 2018

✔ NPI 1689961476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 29956

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

24511 W JAYNE AVE, Coalinga, CA 93210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Emi Komaki 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 Reassignments

Medicare enrollment records show Emi Komaki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of State Hospitals

Same address

Psychiatric Hospital

24511 W JAYNE AVE
Coalinga, CA 93210

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1124078704 (559) 935-4300

Sud Specialty Group - Ca

126 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

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 93210 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

DR. DENISE LOUISE FERGUSON PSY.D.

Psychologist

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (599) 934-3403

DR. LINDSAY MARIE CUNNINGHAM PSY.D., M.A.

Psychologist (Clinical)

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 934-8151

TRICIA BUSBY

Psychologist (Clinical)

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 903-7123

ETTA-LEA OSTERMAN-PEREZ PHD

Psychologist

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 935-4301

DR. MELANIE SUE BAKER PHARMD

Pharmacist

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 934-8069

DR. RICHARD ALTON STARRETT PSYCHOLOGIST

Psychologist

24511 W JAYNE AVE, BOX 5000
COALINGA, CA 93210

Fresno County (559) 934-3099

DR. ALYNNA PENA PHD

Psychologist

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 934-8638

DEPARTMENT OF STATE HOSPITALS

Psychiatric Hospital

24511 W JAYNE AVE
COALINGA, CA 93210

Fresno County (559) 935-4300

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 Emi Komaki's NPI number?

The NPI number for Emi Komaki is 1689961476. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Emi Komaki located?

Emi Komaki practices at 24511 W Jayne Ave, Coalinga, CA 93210. The listed phone number is (559) 934-8220.

What is Emi Komaki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emi Komaki enrolled in Medicare?

Yes. Emi Komaki is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emi Komaki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emi Komaki reassigns Medicare benefits to 2 organizations: Department Of State Hospitals (Coalinga, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Emi Komaki'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 Emi Komaki was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.