Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154831915 Individual Practitioner Male Practitioner

Kyle Scott Nakamoto , PA-C

Physician Assistant • Orange, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Nakamoto, PA-C is a certified Physician Assistant practicing in Orange, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Kyle Nakamoto delivers high-quality medical care to the local community at 101 THE CITY DR S.

Kyle Nakamoto is affiliated with Regents Of The University Of California and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of knee, 3 views, x-ray of hip, 2-3 views, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 The City Dr S

Orange, CA 928683201

Telephone 7144568888
Associated Practice Facility / Clinic
🏢 The Department Of Psychiatry Facility NPI 1831159003

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
181 Specialists

Practicing in Orange, CA (14617 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nakamoto (9 Years) 9 Yrs
Orange Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
73562 X-ray of knee, 3 views
33 27 $142.00 $41.05
73502 X-ray of hip, 2-3 views
17 16 $163.00 $47.16
27447 Replacement of knee joint, both sides of knee
16 16 $885.40 $189.69

Medical Specialties & State Licenses

CMS Verified: 2024-09-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56965

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ID PA-1564

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.

Physician Assistant

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.

Hospital & Practice Group Affiliations

Regents Of The University Of California

101 The City Dr S, Orange, CA 928683201

Phone: 7144567004

Secondary Practice Locations

6801 Park Ter Ste 500

Los Angeles, CA 900459212

Phone: 3106657200

2400 E Katella Ave Ste 400

Anaheim, CA 928065972

Phone: 3106657200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Maryam Ahmadi , MD

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003497678

Doctor of Medicine (M.D.)

Dr. Theodore Pak , MD, PhD

Internal Medicine - Infectious Disease

NPI 1013476100

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Samuel Park , MD

Anesthesiology - Pain Medicine

NPI 1023174752

Doctor of Medicine (M.D.)

NPI 1033355235

Doctor of Medicine (M.D.)

Erin Thurston

Family Medicine

NPI 1033571153
NPI 1043451073

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 20, 2024

Registered at 101 THE CITY DR S, ORANGE, CA 928683201 (Tel: 7144568888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2024

Physician Assistant (License #PA-1564 in ID)

📍
Updated Practice Location March 24, 2021

Registered at 2400 E KATELLA AVE STE 400, ANAHEIM, CA 928065972 (Tel: 3106657200)

📍
Updated Business Mailing Address March 24, 2021

Registered at 6801 PARK TER STE 500, LOS ANGELES, CA 900459212 (Tel: 3106657200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2019

Physician Assistant (License #56965 in CA)

📍
Updated Practice Location December 04, 2019

Registered at 1100 W STEWART DR, ORANGE, CA 92868 (Tel: 7146339111)

📍
Updated Business Mailing Address December 04, 2019

Registered at 1310 W STEWART DR STE 212, ORANGE, CA 928683837 (Tel: 7145438911)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Physician Assistant (License #PA-1564 in ID)

📍
Updated Business Mailing Address February 16, 2018

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 83642 (Tel: 2083026450)

NPI Profile Active October 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2017

Registered at 100 S LOCUST GROVE RD UNIT J102, MERIDIAN, ID 836426384 (Tel: 3109629185)

📍
Updated Business Mailing Address October 06, 2017

Registered at 100 S LOCUST GROVE RD UNIT J102, MERIDIAN, ID 836426384

👤
Provider Name / Credentials Updated October 06, 2017

Recorded as KYLE NAKAMOTO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 06, 2017

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

NPI Number: 1154831915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2017
Last Update: September 20, 2024
Sole Proprietor: No

Mailing Address

6801 Park Ter Ste 500

Los Angeles, CA 900459212

Phone: 3106657200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.