Charlene Vimala Kakimoto, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A82481 Issued in CA

Practice address

230 Prospect PL
Ste. 260
Coronado, CA 92118-1978

Phone

(619) 437-1146

Fax

(619) 437-1146

NPI assigned

Jan 30, 2006

Last updated

Sep 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Tufts University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charlene V Kakimoto MD IncGroup PAC ID 4880940956, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charlene V. Kakimoto, MD, Inc

  • Clinical & Laboratory Dermatological Immunology Physician
  • Coronado, CA
  • NPI 1083104012
  Medicare reassignment Care Compare group
• Charlene V. Kakimoto, MD, Inc

  • Dermatology Physician
  • Coronado, CA
  • NPI 1619467628
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sharp Coronado Hospital and Healthcare Center

  dba Sharp Coronado Hospital

  • General Acute Care Hospital
  • Coronado, CA
  • NPI 1154304475
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1053382044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "STE. 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "STE. 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKIMOTO",
        "first_name": "CHARLENE",
        "middle_name": "VIMALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A82481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Mae Johnson
• Joseph Moore, Inc
• Karely Juarez
• JW Physical Therapy
• Maha Michelle Kabban-Moses, PH.D.
• Michael Edwin Kalafer, M.D.
• Andrea Kane
• Deann Dana Keating, NP
• Peter R. Kelly, M.D.
• Patricia Marie Kettlehake, MD

• Dermatology Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.