Individual provider Active NPI

Ken Masui Fujimura, M.D.

  • Neurology Physician
  • Arcadia, CA
National Provider Identifier
1629426630
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0068239 Issued in CO
Practice address
1015 N 1St Ave Apt a
Arcadia, CA 91006-7401
Phone
(626) 598-3770
Fax
(626) 598-3797
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A154050 CA
Neurology Physician 2084N0400X 2025-00310 NC
Neurology Physician 2084N0400X DR.0068239 CO Primary

Addresses

Primary practice location

1015 N 1St Ave Apt a
Arcadia, CA 91006-7401

Mailing address

1015 N 1St Ave Apt a
Arcadia, CA 91006-7401
Phone (626) 598-3770

Other practice location 1

601 W Spruce St Ste J
Missoula, MT 59802-4047
Phone (406) 327-3350

Other practice location 2

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Other practice location 3

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kfujimura58312@direct.crmcwy.org Direct Memorial Hospital of Laramie County
Direct Messaging Address kfujimura58312@direct.crmcwy.org Health Information Exchange (HIE) Memorial Hospital of Laramie County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, ME, OH, CO, IA, MT, SC, OR, IL, TN, AL, MO, AR, WI, SD, MS, KY, LA, NC20 enrollments
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 20

Enrollment IDStateProvider typePAC IDDetails
I20210521000904 CA Practitioner - Neurology 6608299227 Reassigns benefits to 3 organizations
I20220401000713 NY Practitioner - Neurology 6608299227
I20220404000875 ME Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20220405001019 OH Practitioner - Neurology 6608299227 Reassigns benefits to 2 organizations
I20220405001700 CO Practitioner - Neurology 6608299227 Reassigns benefits to 2 organizations
I20230308001116 IA Practitioner - Neurology 6608299227 Reassigns benefits to 3 organizations
I20230308003064 MT Practitioner - Neurology 6608299227 Reassigns benefits to 2 organizations
I20230310002378 SC Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230313001947 OR Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230314000998 IL Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230315000005 TN Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230315000007 AL Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230428001486 MO Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20230808000347 AR Practitioner - Neurology 6608299227
I20230823004476 WI Practitioner - PsychiatryPractitioner - Neurology 6608299227 Reassigns benefits to 3 organizations
I20231127002150 SD Practitioner - Neurology 6608299227 Reassigns benefits to 2 organizations
I20240220001062 MS Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20240603000484 KY Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20240725002736 LA Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization
I20250523000428 NC Practitioner - Neurology 6608299227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuromonitoring Services of America IncGroup PAC ID 1850452905, 19 clinicians
West Coast Neurology, IncGroup PAC ID 6204067010, 15 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (866) 226-8576

1015 N 1St Ave
Arcadia, CA 91006-7401
Phone (626) 598-3770

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

1320 Mercy NWDR
Canton, OH 44708-2614
Phone (866) 226-8576

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000

1761 Beall Ave
Wooster, OH 44691-2342
Phone (866) 226-8576

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (866) 266-8576

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (866) 226-8576

217 S 3Rd St
Danville, KY 40422-1823
Phone (866) 226-8576

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (866) 226-8576

24 S Weber St
Suite 200
Colorado Springs, CO 80903-1928

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

2600 6TH SWST
Canton, OH 44710-1702
Phone (866) 226-8576

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 719-1000

425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4124
Phone (715) 847-2070

440 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4000

500 W Broadway St
Missoula, MT 59802-4008
Phone (866) 226-8576

515 22ND Ave
Monroe, WI 53566-1569
Phone (832) 388-1717

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (866) 226-8576

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A154050CAMDNeurology Physician
DR.0068239COMDNeurology Physician
2025-00310NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic Current Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Sep 5, 2024 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Nov 1, 2024 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Northbay Healthcare Group CurrentSince Aug 20, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 20, 2023 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Jun 7, 2024 Accepting new patients
The Metrohealth System CurrentSince Jul 13, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
West Coast Neurology, Inc Neurology CurrentSince Apr 14, 2021 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Mercy Specialty Clinic CurrentSince Sep 26, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Wakemed CurrentSince Apr 2, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Providence Health & Services Mt CurrentSince Jan 8, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Jan 8, 2025 Accepting new patients
Wakemed CurrentSince Apr 2, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
The Metrohealth System CurrentSince Jul 13, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Sep 5, 2024 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Nov 1, 2024 Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Aspirus Wausau Hospital, Inc Past Accepting new patients
Casa Colina Hospital and Centers for Healthcare Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients

Locations (25 of 29)

612 W Duarte Rd
Ste 305
Arcadia, CA 91007
Phone (626) 446-4659

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

630 S Raymond Ave
Unit 310
Pasadena, CA 91105
Phone (626) 598-3770

625 Fair Oaks Ave
Ste 175
South Pasadena, CA 91030
Phone (626) 598-3770

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

24 S Weber St
Ste 200
Colorado Springs, CO 80903
Phone (719) 309-5823

777 Bannock St
Denver, CO 80204

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

29980 Network Pl
Chicago, IL 60673

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

601 W Spruce St
Ste J
Missoula, MT 59802
Phone (406) 329-2668

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kfujimura3944798@direct.trinity-health.org
  • Direct secure messaging: kfujimura58312@direct.crmcwy.org
  • Direct secure messaging: kenfujimura@wcn.allscriptsdirect.net

Organizations & group practices 33

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

View all 33

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1629426630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 1ST AVE APT A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-598-3770",
            "fax_number": "626-598-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 1ST AVE APT A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067401",
            "telephone_number": "626-598-3770",
            "fax_number": "626-598-3797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Spruce St Ste J",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024047",
            "country_code": "US",
            "telephone_number": "406-327-3350",
            "fax_number": "406-327-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJIMURA",
        "first_name": "KEN",
        "middle_name": "MASUI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A154050",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-00310",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0068239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfujimura58312@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfujimura58312@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.