Roger Ken Nakata, DO - Medicare Pediatrics in Corona, CA

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Roger Ken Nakata, DO is a medicare enrolled "Pediatrics" physician in Corona, California. His current practice location is 2055 Kellogg Ave, Corona, California. You can reach out to his office (for appointments etc.) via phone at (951) 898-7189.

Roger Ken Nakata is licensed to practice in California (license number 15214) 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 1710392931.

Contact Information

Roger Ken Nakata, DO
2055 Kellogg Ave,
Corona, CA 92879-3111
(951) 898-7189
Not Available

Map and Direction




Physician's Profile

Full NameRoger Ken Nakata
GenderMale
SpecialityPediatrics
Location2055 Kellogg Ave, Corona, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710392931
  • Provider Enumeration Date: 06/26/2014
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345513024
  • Enrollment ID: I20170830003851

Medical Identifiers

Medical identifiers for Roger Ken Nakata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710392931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 15214 (California)Primary

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. Roger Ken Nakata allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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. Roger Ken Nakata 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
Roger Ken Nakata, DO
2055 Kellogg Ave,
Corona, CA 92879-3111

Ph: () -		Roger Ken Nakata, DO
2055 Kellogg Ave,
Corona, CA 92879-3111

Ph: (951) 898-7189

Reviews and Comments


Pediatrics Doctors in Corona, CA

Kimberly Ann Dreher, DO
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Phone: 951-343-3481    Fax: 951-343-3486
Pushan Chowdhury, MD
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Practice Location: 2055 Kellogg Ave, Corona, CA 92879
Phone: 186-698-4748    
Cresencia Deleon Banzuela, M.D.
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Phone: 951-272-6595    Fax: 951-272-3872
Dr. Kaneyalal Bhagwanji Tejura, MD
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Phone: 951-734-1955    Fax: 951-734-9154
Elena B Jackson, M.D.
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Practice Location: 770 Magnolia Ave Suite 2a, Corona, CA 92879
Phone: 951-736-8144    Fax: 951-736-0701
Rosalie A De Guzman, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 823 S Main St Ste 100, Corona, CA 92882
Phone: 951-270-0067    
Mrs. Yvonne Ramona D'sylva, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 770 Magnolia Ave Ste 2a, Corona, CA 92879
Phone: 951-736-8144    Fax: 951-736-8144

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.