KATHRYN FUKUMOTO WOOD – Certified Registered Nurse Anesthetist, NPI 1144989807

KATHRYN FUKUMOTO WOOD is a healthcare provider. based in Cypress, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 95001624 (CA). The NPI Number for KATHRYN FUKUMOTO WOOD is 1144989807

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN FUKUMOTO WOOD
NPI
1144989807
Phone
(310) 991-7579
Address
4437 CASA GRANDE CIR APT 372
Enumeration Date
9 December 2021
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167844000
Graduation Year
2021 (5 years ago)
PAC ID
7517341878
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20220906001006
Address ID
CA956613027RO1600XRDXX300

Contacts

Secure Messaging
Fukumoto.D.Kathryn@kp.org
SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for KATHRYN FUKUMOTO WOOD

  • 4437 CASA GRANDE CIR APT 372

    CYPRESS, CA 906306115

    Phone: (310) 991-7579

    Type: Mailing

  • 4867 W SUNSET BLVD

    LOS ANGELES, CA 900275969

    Phone: (833) 574-2273

    Type: Location

  • 5820 OWENS DR. BUILDING E, 2ND FLOOR

    PLEASANTON, CA 945883900

    Phone:

    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: 2022-09-06

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
I20220906001006ICertified Registered Nurse Anesthetist (Crna)CATBD

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 90630)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is KATHRYN FUKUMOTO WOOD's NPI number?
KATHRYN FUKUMOTO WOOD's NPI is 1144989807 — the number used across U.S. healthcare to identify this provider.
Would KATHRYN FUKUMOTO WOOD appear as active to a payer?
You can treat KATHRYN FUKUMOTO WOOD as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATHRYN FUKUMOTO WOOD?
KATHRYN FUKUMOTO WOOD is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is KATHRYN FUKUMOTO WOOD located near Cypress?
KATHRYN FUKUMOTO WOOD currently maps to Cypress, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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