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DR. NICOLE YUKO WAKIMOTO MD
NPI 1780251157
Family Medicine in Torrance, CA

Active since June 05, 2021PECOS EnrolledAccepts Medicare Assignment
21311 MADRONA AVE STE 100A, TORRANCE, CA 90503(310) 792-4400(424) 212-5975 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 15, 2024, Aug 14, 2024, Jun 5, 2021 (3 updates tracked since 2021).

About Dr. Nicole Yuko Wakimoto Md NPPES

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

DR. NICOLE YUKO WAKIMOTO MD (NPI 1780251157) is an individual family medicine provider in Torrance, California, licensed in California (A197883) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780251157
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLE YUKO WAKIMOTOCredential: MD
Location Address21311 MADRONA AVE STE 100ATorrance, CA 90503-5970
Mailing Address21311 Madrona Ave Ste 100aTorrance, CA 90503-5970 · (310) 792-4400 · Fax (424) 212-5975
Phone(310) 792-4400
Fax(424) 212-5975
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 5, 2021
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1780251157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A197883
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.
Also ListedPediatricsTaxonomy 208000000X · License A197883 (CA)
21311 MADRONA AVE STE 100A, Torrance, CA 90503
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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 and accepts Medicare assignment

Dr. Nicole Yuko Wakimoto Md 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 ID8628470440
PECOS Enrollment IDI20241015001462
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 Nicole Wakimoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Institute
0.6 mi
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075

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

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 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.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 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.

Other Providers at the Same Location NPPES 4

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

JULY GENEROSO
Internal Medicine
21311 MADRONA AVE STE 100A
TORRANCE, CA 90503
Los Angeles County (310) 792-4400
JAMES KREMPASKY D.O.
Family Medicine
21311 MADRONA AVE STE 100A
TORRANCE, CA 90503
Los Angeles County (310) 792-4400
DR. SHEENA MALIK M.D.
Family Medicine
21311 MADRONA AVE STE 100A
TORRANCE, CA 90503
Los Angeles County (310) 792-4400
MARK ELLIOTT MATUSAK DO
Family Medicine (Sports Medicine)
21311 MADRONA AVE STE 100A
TORRANCE, CA 90503
Los Angeles County (310) 792-4400

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 Nicole Wakimoto's NPI number?

The NPI number for Nicole Wakimoto is 1780251157. It was assigned to this individual provider in the NPPES registry on June 5, 2021.

Where is Nicole Wakimoto located?

Nicole Wakimoto practices at 21311 Madrona Ave Ste 100A, Torrance, CA 90503. The listed phone number is (310) 792-4400.

What is Nicole Wakimoto's specialty?

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

Is Nicole Wakimoto enrolled in Medicare?

Yes. Nicole Wakimoto 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.

Which organization bills Medicare for Nicole Wakimoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wakimoto reassigns Medicare benefits to Providence Medical Institute (Torrance, 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 Nicole Wakimoto'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 Nicole Wakimoto was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.