KRISTIN MASUKAWA (MD) – Family Medicine Physician, NPI 1063809911
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for KRISTIN MASUKAWA (MD)
7515 VAN NUYS BLVD
VAN NUYS, CA 914051949
Phone: (818) 627-3300
Type: Mailing
4000 MACARTHUR BLVD STE 110
NEWPORT BEACH, CA 926602546
Phone: (949) 445-8768
Type: Location
200 S MANCHESTER AVE STE 300
ORANGE, CA 928683219
Phone: (714) 456-8888
Fax: (714) 509-2257
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190424000362 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 107 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 13 | 12 | $0 |
Insurance plans in this area (ZIP 91405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Gastroenterology, Internal Medicine | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Critical Care (Intensivists), Pulmonary Disease | CA | |
| Family Practice | CA |
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