STACEY KIKUMI NAITO D.O.
NPI 1902106560
Family Medicine in Northridge, CA

Q: What is Stacey Naito's NPI number?

The NPI number for Stacey Naito is 1902106560. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Q: What is Stacey Naito'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 Stacey Naito was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 29, 2010PECOS Enrolled

9900 BALBOA BLVD, SUITE E, NORTHRIDGE, CA 91325(818) 701-0017(818) 701-0073 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey Kikumi Naito D.o. NPPES

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

STACEY KIKUMI NAITO D.O. (NPI 1902106560) is an individual family medicine provider in Northridge, California, licensed in California (20A8154) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902106560

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACEY KIKUMI NAITOCredential: D.O.

Location Address9900 BALBOA BLVD, SUITE ENorthridge, CA 91325-5403

Mailing Address9900 Balboa Blvd, Suite ENorthridge, CA 91325-5403 · (818) 701-0017 · Fax (818) 701-0073

Phone(818) 701-0017

Fax(818) 701-0073

Sole ProprietorYes

Enumeration DateOctober 29, 2010

✔ NPI 1902106560 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 · 20A8154

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 ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 20A8154 (CA)

9900 BALBOA BLVD, Northridge, CA 91325

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Other Identifiers 1

Medicare UPINI20954CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Kikumi Naito D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91325 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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier28 claims28 services$43.61 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$39.59 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 9

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

DR. CONRAD J R MIRANDA IV M.D.

General Practice

9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-0017

HEE JONG L CHOI L.AC

Physician Assistant

9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-0017

BALBOA MEDICAL & WELLNESS CENTER,INC.

General Practice

9900 BALBOA BLVD, SUITE E
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-0017

RAEESY MD INC

Internal Medicine

9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-0017

GREAT SPIRIT MEDICAL GROUP,INC

Family Medicine

9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-0017

MRS. LIDIA MENDOZA

Massage Therapist

9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-7070

MRS. KHATUL ANDKHOY LAC

Acupuncturist

9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-7070

VALLEY INTEGRATED HEALTH CARE SERVICE

Specialist

9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325

Los Angeles County (818) 701-8771

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 Stacey Naito's NPI number?

The NPI number for Stacey Naito is 1902106560. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Stacey Naito located?

Stacey Naito practices at 9900 Balboa Blvd Suite E, Northridge, CA 91325. The listed phone number is (818) 701-0017.

What is Stacey Naito's specialty?

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

Is Stacey Naito enrolled in Medicare?

Yes. Stacey Naito is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Naito was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.