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KAITLIN MIKA MASATSUGU LCSW
NPI 1790445781
Social Worker - Clinical in San Jose, CA

Active since December 18, 2021PECOS Enrolled
2150 N 1ST ST STE 650, SAN JOSE, CA 95131(408) 436-3300 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Jan 31, 2023, Jan 10, 2022 and 1 more (4 updates tracked since 2021).

About Kaitlin Mika Masatsugu Lcsw NPPES

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

KAITLIN MIKA MASATSUGU LCSW (NPI 1790445781) is an individual clinical provider in San Jose, California, licensed in California (81092) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790445781
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLIN MIKA MASATSUGUCredential: LCSW
Location Address2150 N 1ST ST STE 650San Jose, CA 95131-2031
Mailing Address2150 N 1st St Ste 650San Jose, CA 95131-2031
Phone(408) 436-3300
Sole ProprietorYes
Enumeration DateDecember 18, 2021
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1790445781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 81092
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2150 N 1ST ST STE 650, San Jose, CA 95131
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Mika Masatsugu Lcsw 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

2

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

Permanente Medical Group Inc
5.1 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000
Sutter Bay Medical Foundation
14 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121

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 95131 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
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 3

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

DR. DANIEL JAMES REED PSY.D.
Psychologist (Clinical)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 964-7222
JENNIFER GARMA ATIENZA MD
Psychiatry & Neurology (Psychiatry)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 964-7300
JAMES LLOYD FANDIALAN M.A., LPCC 7084
Counselor (Mental Health)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 964-7300

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 Kaitlin Masatsugu's NPI number?

The NPI number for Kaitlin Masatsugu is 1790445781. It was assigned to this individual provider in the NPPES registry on December 18, 2021.

Where is Kaitlin Masatsugu located?

Kaitlin Masatsugu practices at 2150 N 1st St Ste 650, San Jose, CA 95131. The listed phone number is (408) 436-3300.

What is Kaitlin Masatsugu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kaitlin Masatsugu enrolled in Medicare?

Yes. Kaitlin Masatsugu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaitlin Masatsugu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Masatsugu reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Santa Clara, CA) and Sutter Bay Medical Foundation (Palo Alto, 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 Kaitlin Masatsugu'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 Kaitlin Masatsugu was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.