Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEN NISHIMURA
NPI 1780583039
Physician Assistant in Rolling Hills Estates, CA

Active since November 03, 2026
3612 W ESTATES LN UNIT E, ROLLING HILLS ESTATES, CA 90274(808) 754-0901 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ken Nishimura NPPES

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

KEN NISHIMURA (NPI 1780583039) is an individual physician assistant in Rolling Hills Estates, California, licensed in California (PA69288) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1780583039
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEN NISHIMURA
Location Address3612 W ESTATES LN UNIT ERolling Hills Estates, CA 90274-4147
Mailing Address3612 W Estates Ln Unit ERolling Hills Estates, CA 90274-4147 · (808) 754-0901
Sole ProprietorNo
Enumeration DateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1780583039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA69288
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.
3612 W ESTATES LN UNIT E, Rolling Hills Estates, CA 90274

Other Providers at the Same Location NPPES

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

Pharmacist
3612 W ESTATES LN UNIT E
ROLLING HILLS ESTATES, CA 90274

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 Ken Nishimura's NPI number?

The NPI number for Ken Nishimura is 1780583039. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Ken Nishimura located?

Ken Nishimura practices at 3612 W Estates Ln Unit E, Rolling Hills Estates, CA 90274. The listed phone number is (808) 754-0901.

What is Ken Nishimura's specialty?

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

When was this NPI record last updated?

The NPPES record for Ken Nishimura was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.