BRYAN TSUJIMOTO – Physician Assistant, NPI 1124661186

BRYAN TSUJIMOTO is a healthcare provider. based in Hercules, California. specializing in PHYSICIAN ASSISTANT. The NPI Number for BRYAN TSUJIMOTO is 1124661186

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN TSUJIMOTO
NPI
1124661186
Phone
Not provided
Address
256 GRENADINE WAY
Enumeration Date
22 October 2019
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5108444097
Graduation Year
2019 (7 years ago)
PAC ID
2466886817
Group Practice PAC ID
9032340047
Professional Enrollment ID
I20191218001765
Address ID
CA946105022OA411XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for BRYAN TSUJIMOTO

  • 256, Grenadine Way, Hercules, Contra Costa County, California, 94547, United States

    HERCULES, CA 945472044

    Phone:

    Type: Mailing

  • 108 LA CASA VIA STE 100

    WALNUT CREEK, CA 945983013

    Phone: (925) 930-9120

    Type: Mailing

  • 100, La Casa Via, Walnut Creek, Contra Costa County, California, 94598, United States

    WALNUT CREEK, CA 945983013

    Phone: (925) 930-9120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $837.

Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($215).

Total Amount

$837

General + Research + Ownership

Payments

39

Total payment records

General Amount

$837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191218001765IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 94547)

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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: 9032340047View full group profile

Reviews

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Frequently asked questions

How is BRYAN TSUJIMOTO identified in CMS data?
CMS-hosted NPPES data lists BRYAN TSUJIMOTO with NPI 1124661186.
Is BRYAN TSUJIMOTO still practicing?
BRYAN TSUJIMOTO is currently listed as active in the public NPI registry.
What is BRYAN TSUJIMOTO best known for clinically?
Directory data describes BRYAN TSUJIMOTO with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BRYAN TSUJIMOTO based?
BRYAN TSUJIMOTO is tied to Hercules, California in the data we show; additional addresses may exist on the full record.
Why does BRYAN TSUJIMOTO have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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