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JACQUELINE KIMI OKADA MD
NPI 1982763561
Family Medicine in Harbor City, CA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Kimi Okada Md NPPES

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

JACQUELINE KIMI OKADA MD (NPI 1982763561) is an individual family medicine provider in Harbor City, California, licensed in California (A77135) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1982763561
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE KIMI OKADACredential: MD
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111
Phone(310) 325-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 2, 2021
✔ NPI 1982763561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A77135
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.
25825 VERMONT AVE, Harbor City, CA 90710
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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

Jacqueline Kimi Okada 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 ID4587617790
PECOS Enrollment IDI20050228001067
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 Jacqueline Okada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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 90710 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 20

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

SEAN KOH PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
ALYSSA QUAN PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2238
JOYHAN JAY SUNG RRT-NPS
Respiratory Therapist, Registered (Neonatal/Pediatrics)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2648
RANDEL R. KING MD
Internal Medicine (Pulmonary Disease)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
TIM TAKESHI SUGIYAMA
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2239
RYOKEI K. IMAI MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
JENNIFER WING-YUN LAM MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
CHRISTOPHER LOLACHI MD
Otolaryngology (Plastic Surgery within the Head & Neck)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111

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 Jacqueline Okada's NPI number?

The NPI number for Jacqueline Okada is 1982763561. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jacqueline Okada located?

Jacqueline Okada practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.

What is Jacqueline Okada's specialty?

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

Is Jacqueline Okada enrolled in Medicare?

Yes. Jacqueline Okada 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 Jacqueline Okada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Okada reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Jacqueline Okada'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 Jacqueline Okada was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.