KENNETH IMANAKA (MD) – Anesthesiology Physician, NPI 1013974567

KENNETH IMANAKA (MD) is a healthcare provider. based in Modesto, California. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. G50338 (CA). The NPI Number for KENNETH IMANAKA (MD) is 1013974567

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH IMANAKA (MD)
NPI
1013974567
Phone
(209) 524-1211
Address
600 COFFEE RD
Enumeration Date
27 April 2006
Last Update Date
17 August 2010

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
2095504780
Graduation Year
1980 (46 years ago)
PAC ID
2466516430
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20090205000732
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH IMANAKA (MD)

  • 600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States

    MODESTO, CA 953554201

    Phone: (209) 524-1211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
Family Practice, General PracticeCA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

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Frequently asked questions

What number should I use to identify KENNETH IMANAKA (MD) for billing?
Administrative and clinical systems typically use NPI 1013974567 for KENNETH IMANAKA (MD).
Should I treat KENNETH IMANAKA (MD) as an active provider?
Patients and plans typically see KENNETH IMANAKA (MD) as active in the national extract.
Which specialty label fits KENNETH IMANAKA (MD)?
NPPES ties KENNETH IMANAKA (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KENNETH IMANAKA (MD)?
The directory associates KENNETH IMANAKA (MD) with Modesto, California. Check all listed addresses for suites or satellite offices.
Why is information missing for KENNETH IMANAKA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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