NPIMap

Individual provider Active NPI

Kris Okumu, MD

  • Orthopaedic Surgery of the Spine Physician
  • Watsonville, CA
National Provider Identifier
1679736300
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A92195 Issued in CA
Practice address
1820 Main St
Watsonville, CA 95076-3092
Phone
(831) 728-4227
Fax
(831) 728-0410
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A92195 CA Primary

Addresses

Primary practice location

1820 Main St
Watsonville, CA 95076-3092

Mailing address

65 Neilson St Ste 102
Watsonville, CA 95076-2491
Phone (831) 768-6217

Other practice location 1

2490 Hospital Dr
Suite 106
Mountain View, CA 94040-4122
Phone (650) 962-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000209 CA Practitioner - Orthopedic Surgery 0143369041 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

22 W 39TH Ave
Hos316Ms
San Mateo, CA 94403-4364

222 W 39TH Ave
San Mateo, CA 94403-4364

2400 Samaritan Dr
Suite 100
San Jose, CA 95124-3910
Phone (408) 583-4699

2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone (650) 573-2222

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113

Merit-based Incentive Payment System (MIPS)

Final score
95.92 of 100Reported as group
Quality
76.62
Promoting interoperability
100
Improvement activities
40
Cost
79.32

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
67.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Pinnacle Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
County of San Mateo CurrentSince Jan 1, 2025 Accepting new patients
Surgical Affiliates of California CurrentSince Jun 1, 2019 Accepting new patients
County of San Mateo CurrentSince Dec 21, 2024 Accepting new patients
County of San Mateo CurrentSince Dec 21, 2024 Accepting new patients
Orthospine Specialists a Professional Corporation Orthopaedic Surgery of the Spine CurrentSince Sep 14, 2025 Accepting new patients
Coastal Health Partners Orthopaedic Surgery of the Spine CurrentSince Nov 1, 2020 Accepting new patients

Locations

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

947 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 422-5555

2400 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 403-5996

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

1820 Main St
Watsonville, CA 95076
Phone (831) 728-1199

65 Nielson St
Ste 102
Watsonville, CA 95076
Phone (831) 763-6487

65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266

Interoperability endpoints

  • Direct secure messaging: kokumu@yourcarecommunity.org
  • Direct secure messaging: kokumu33218@smch.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/7346/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1679736300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEILSON ST STE 102",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-768-6217",
            "fax_number": "831-768-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763092",
            "telephone_number": "831-728-4227",
            "fax_number": "831-728-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Hospital Dr",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404122",
            "country_code": "US",
            "telephone_number": "650-962-5700",
            "fax_number": "650-962-5868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUMU",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A92195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.