Dr Keith Taro Komatsu, DDS - Medicare Dentist in Redondo Beach, CA

Dr Keith Taro Komatsu, DDS is a medicare enrolled "Dentist - Endodontics" provider in Redondo Beach, California. His current practice location is 1921 S Catalina Ave, Suite 3, Redondo Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 375-8012.

Dr Keith Taro Komatsu is licensed to practice in California (license number 40455) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366659104.

Contact Information

Dr Keith Taro Komatsu, DDS
1921 S Catalina Ave, Suite 3,
Redondo Beach, CA 90277-5516
(310) 375-8012
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Keith Taro Komatsu
GenderMale
SpecialityDentist - Endodontics
Location1921 S Catalina Ave, Redondo Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366659104
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 06/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557652534
  • Enrollment ID: I20160622001120

Medical Identifiers

Medical identifiers for Dr Keith Taro Komatsu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366659104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 40455 (California)Primary

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 Keith Taro Komatsu 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 Keith Taro Komatsu, DDS
1921 S Catalina Ave, Suite 3,
Redondo Beach, CA 90277-5516

Ph: (310) 375-8012
Dr Keith Taro Komatsu, DDS
1921 S Catalina Ave, Suite 3,
Redondo Beach, CA 90277-5516

Ph: (310) 375-8012

Reviews and Comments


Dentist in Redondo Beach, CA

Maria Amparo Romano, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2772 Artesia Blvd Ste 103, Redondo Beach, CA 90278
Phone: 310-370-1586    Fax: 310-370-1588
Dr. Michelle Soojung Ahn, DDS, MSD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1444 Aviation Blvd, Suite 201, Redondo Beach, CA 90278
Phone: 310-376-2460    Fax: 310-376-7273
Dr. Mary Lynn Lukasik, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1815 Via El Prado Ste 400, Hollywood Riviera Village, Redondo Beach, CA 90277
Phone: 310-792-4325    Fax: 310-792-4328
Aria Ali Asemi,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 915 S Catalina Ave Ste A, Redondo Beach, CA 90277
Phone: 310-540-8787    
Dr. Kevin Joseph Faist, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1815 Via El Prado Ste 200, Redondo Beach, CA 90277
Phone: 310-316-4477    Fax: 310-316-4475
Dr. Richard E Schell, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 510 N Prospect, #310, Redondo Beach, CA 90277
Phone: 310-937-2992    
Mr. John Louis Vicelja, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1711 Via El Prado, 303, Redondo Beach, CA 90277
Phone: 310-792-4833    Fax: 310-792-4837

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.