Kellie Kodama
Physician Assistant • Fullerton, CA
Professional Overview & Biography Verified Profile Summary
Kellie Kodama is a certified Physician Assistant practicing in Fullerton, CA. With approximately 3 years of clinical experience since completing medical education in 2023, Kellie Kodama delivers high-quality medical care to the local community at 2575 YORBA LINDA BLVD.
Kellie Kodama is affiliated with Sunny Hills Medical Center Inc and accepts Medicare assignment.
Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
2575 Yorba Linda Blvd
Fullerton, CA 928311615
Medicare Profile & Education
Other
2023
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Fullerton, CA
Practicing in Fullerton, CA (14617 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
22 | 22 | $268.80 | $102.63 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
17 | 17 | $350.00 | $152.80 |
Medical Specialties & State Licenses
CMS Verified: 2026-06-01NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363A00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Sunny Hills Medical Center Inc
140 E Commonwealth Ave, Fullerton, CA 928321905
Phone: 7145723900
Secondary Practice Locations
7510 W Thomas Rd Ste 104
Phoenix, AZ 850335407
Phone: 4806778282
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Medical
Student in an Organized Health Care Education/Training Program
Physician Assistant
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 261 N ROOSEVELT AVE, CHANDLER, AZ 852262617 (Tel: 4806778282)
Physician Assistant (License #11685 in AZ)
Physician Assistant
NPI status registered as active in NPPES database
Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311615 (Tel: 7144497400)
Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311615
Recorded as KELLIE KODAMA
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
261 N Roosevelt Ave
Chandler, AZ 852262617
Phone: 4806778282
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