DR. SHINOBU LUISA KANEKO M.D.
NPI 1750388633
Family Medicine in Monterey Park, CA

Q: What is Shinobu Kaneko's NPI number?

The NPI number for Shinobu Kaneko is 1750388633. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Shinobu Kaneko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shinobu Kaneko was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 07, 2005PECOS Enrolled

823 S ATLANTIC BLVD STE 4, MONTEREY PARK, CA 91754(626) 458-1201(626) 458-3736 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Shinobu Luisa Kaneko M.d. NPPES

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

DR. SHINOBU LUISA KANEKO M.D. (NPI 1750388633) is an individual family medicine provider in Monterey Park, California, licensed in California (A80720) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1750388633

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHINOBU LUISA KANEKOCredential: M.D.

Location Address823 S ATLANTIC BLVD STE 4Monterey Park, CA 91754-4721

Mailing AddressPo Box 129Monterey Park, CA 91754-0129 · (626) 458-1201 · Fax (626) 458-3736

Phone(626) 458-1201

Fax(626) 458-3736

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 7, 2005

Last NPPES UpdateOctober 18, 2022

NPPES CertifiedOctober 17, 2022

✔ NPI 1750388633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A80720

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

823 S ATLANTIC BLVD STE 4, Monterey Park, CA 91754

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shinobu Luisa Kaneko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244204121

PECOS Enrollment IDI20040825001065

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 Shinobu Kaneko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shinobu Luisa Kaneko M.D. Inc

Same address

Family Medicine

823 S ATLANTIC BLVD STE 4
Monterey Park, CA 91754

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Shinobu Luisa Kaneko MD Inc

NPI 1609047893 (626) 458-1201

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

319 services63 patients

Therapy procedure using massage, each 15 minutes 97124

This therapy involves the application of pressure to your body's soft tissues using hands. It helps alleviate pain, reduce stress, and promote relaxation. Each session lasts for 15 minutes and can be tailored to your specific needs.

308 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

293 services91 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

195 services76 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

57 services37 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91754 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers15 claims29 services$6.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SHINOBU LUISA KANEKO M.D. INC

Family Medicine

823 S ATLANTIC BLVD STE 4
MONTEREY PARK, CA 91754

Los Angeles County (626) 458-1201

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 Shinobu Kaneko's NPI number?

The NPI number for Shinobu Kaneko is 1750388633. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Shinobu Kaneko located?

Shinobu Kaneko practices at 823 S Atlantic Blvd Ste 4, Monterey Park, CA 91754. The listed phone number is (626) 458-1201.

What is Shinobu Kaneko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shinobu Kaneko enrolled in Medicare?

Yes. Shinobu Kaneko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shinobu Kaneko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shinobu Kaneko reassigns Medicare benefits to Shinobu Luisa Kaneko M.D. Inc (Monterey Park, 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 Shinobu Kaneko'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 Shinobu Kaneko was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.