Dr Cynthia Chizuko Kodama, DO - Medicare General Practice in South Pasadena, CA

Dr Cynthia Chizuko Kodama, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in South Pasadena, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as General Practice. Her current practice location is 1499 Huntington Dr Ste 418, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 460-8398.

Dr Cynthia Chizuko Kodama is licensed to practice in California (license number 20A10411) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013166503.

Contact Information

Dr Cynthia Chizuko Kodama, DO
1499 Huntington Dr Ste 418,
South Pasadena, CA 91030-5459
(626) 460-8398
Not Available

Map and Direction




Physician's Profile

Full NameDr Cynthia Chizuko Kodama
GenderFemale
SpecialityGeneral Practice
Experience18 Years
Location1499 Huntington Dr Ste 418, South Pasadena, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Cynthia Chizuko Kodama graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1013166503
  • Provider Enumeration Date: 09/09/2008
  • Last Update Date: 04/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981741238
  • Enrollment ID: I20091022000566

Medical Identifiers

Medical identifiers for Dr Cynthia Chizuko Kodama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013166503NPI-NPPES
B4719516OtherCADRIVER'S LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 20A10411 (California)Secondary
204D00000XNeuromusculoskeletal Medicine & Omm 20A10411 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cynthia Chizuko Kodama allows following entities to bill medicare on her behalf.
Entity NameCynthia Kodama, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003231101
PECOS PAC ID: 0547492118
Enrollment ID: O20140414000655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cynthia Chizuko Kodama is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Cynthia Chizuko Kodama, DO
1363 Pebble Hurst St,
Monterey Park, CA 91754-4422

Ph: (323) 791-9867
Dr Cynthia Chizuko Kodama, DO
1499 Huntington Dr Ste 418,
South Pasadena, CA 91030-5459

Ph: (626) 460-8398

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.