KELLI MICHELE KAWASHIMA PA
NPI 1902860901
Physician Assistant - Surgical in San Jose, CA
About Kelli Michele Kawashima Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI MICHELE KAWASHIMA PA (NPI 1902860901) is an individual surgical provider in San Jose, California, licensed in California (14808) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelli Michele Kawashima Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Kelli Kawashima's NPI number?
The NPI number for Kelli Kawashima is 1902860901. It was assigned to this individual provider in the NPPES registry on April 14, 2006.
Where is Kelli Kawashima located?
Kelli Kawashima practices at 751 S Bascom Ave General Surgery Department, San Jose, CA 95128. The listed phone number is (408) 885-6054.
What is Kelli Kawashima's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelli Kawashima enrolled in Medicare?
Yes. Kelli Kawashima is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelli Kawashima was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kelli Michele Kawashima, PA · NPI 1902860901
Surgical physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 14, 2006.
## Identity
- **NPI:** 1902860901 (Entity type: Individual)
- **Enumerated:** April 14, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 14808 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, GENERAL SURGERY DEPARTMENT, San Jose, CA 95128-2604
- **Phone:** (408) 885-6054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 12, 2007
- **Other identifiers:** Medicare UPIN Q10992 (CA); Medicare PIN OPA14808 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902860901) · Data from the CMS NPPES public registry.