Dr Kenneth Shiozaki, DO in Carson, CA - Medicare Family Practice

Dr Kenneth Shiozaki, DO is a medicare enrolled "Family Medicine" physician in Carson, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Institute and his current practice location is 21501 Avalon Blvd Ste 100, Carson, California. You can reach out to his office (for appointments etc.) via phone at (310) 835-6627.

Dr Kenneth Shiozaki is licensed to practice in California (license number 207Q00000X) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770832529.

Contact Information

	Dr Kenneth Shiozaki, DO
	21501 Avalon Blvd Ste 100, Carson, CA 90745-2210
	(310) 835-6627
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Shiozaki
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	21501 Avalon Blvd Ste 100, Carson, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Shiozaki graduated from medical school in 2012

NPI Data:

NPI Number: 1770832529
Provider Enumeration Date: 09/06/2012
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8628368677
Enrollment ID: I20160602001544

Medical Identifiers

Medical identifiers for Dr Kenneth Shiozaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770832529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	207Q00000X (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	290

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 Kenneth Shiozaki allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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 Kenneth Shiozaki 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 Address	Practice Location Address
Dr Kenneth Shiozaki, DO 2382 Crenshaw Blvd Ste 5, Torrance, CA 90501-3333 Ph: (310) 782-3366	Dr Kenneth Shiozaki, DO 21501 Avalon Blvd Ste 100, Carson, CA 90745-2210 Ph: (310) 835-6627

Reviews and Comments

Family Medicine Doctors in Carson, CA

Ms. Susan Seideman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23601 Avalon Blvd, #105, Carson, CA 90745 Phone: 310-549-5769 Fax: 310-549-1649
Dr. Harrison Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 E Carson St Ste 104, Carson, CA 90745 Phone: 310-793-3520
Dr. Christopher D Bustamante, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 168 W Carson St, Carson, CA 90745 Phone: 310-233-3202 Fax: 310-233-3208
Gerardo Reyes Guba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 E Carson St, Ste 101, Carson, CA 90745 Phone: 310-233-3202 Fax: 310-233-3208
Daniel E Harvey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 E Carson St, Suite 206, Carson, CA 90745 Phone: 310-513-9361
Carmen Nereida Gossette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 E Carson St Ste 101, Carson, CA 90745 Phone: 310-233-3203 Fax: 310-549-7010
Babra Chinwe Terry, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Gina Dr, Carson, CA 90745 Phone: 310-533-7582

Dr Kenneth Shiozaki, DO - Medicare Family Practice in Carson, CA