DR. ROY MASAMI FUJITANI (M.D.) – Vascular Surgery Physician, NPI 1164429015

DR. ROY MASAMI FUJITANI (M.D.) is a healthcare provider. based in Orange, California. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. G54101 (CA). The NPI Number for DR. ROY MASAMI FUJITANI (M.D.) is 1164429015

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY MASAMI FUJITANI (M.D.)
NPI
1164429015
Phone
(714) 456-5453
Address
333 CITY BLVD W
Enumeration Date
7 July 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
7146345549
Graduation Year
1983 (43 years ago)
PAC ID
6002001377
Group Practice PAC ID
6901705227
Professional Enrollment ID
I20101111001265
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
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

3,317 GENERAL SURGERY in CA

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Provider Addresses for DR. ROY MASAMI FUJITANI (M.D.)

  • 333, City Boulevard West, Outlets at Orange, Orange, Orange County, California, 92868, United States

    SUITE 700

    ORANGE, CA 928682903

    Phone: (714) 456-5453

    Fax: (714) 456-6070

    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)

CMS reports 52 Open Payments records for all available years, with a total value of $16,664.

Total Amount is formed as General ($16,664) + Research ($0) + Ownership ($0) = $16,664.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Medtronic, Inc. ($13,467).

Total Amount

$16,664

General + Research + Ownership

Payments

52

Total payment records

General Amount

$16,664

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2010-11-11

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
I20101111001265IGeneral SurgeryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes181131$0
99214Established patient office or other outpatient visit, 30-39 minutes135106$0
99215Established patient office or other outpatient visit, 40-54 minutes5953$0
99205New patient office or other outpatient visit, 60-74 minutes5353$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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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: 6901705227View full group profile
NameSpecialtyState
P S Y C H I A T R YNC
Physician AssistantPA
General SurgeryCA
Physician AssistantCA
Surgical OncologyMA
Physician AssistantFL
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA

Reviews

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Frequently asked questions

Is there an official ID for DR. ROY MASAMI FUJITANI (M.D.) in U.S. healthcare records?
The official identifier for DR. ROY MASAMI FUJITANI (M.D.) is NPI 1164429015.
Would DR. ROY MASAMI FUJITANI (M.D.) appear as active to a payer?
You can treat DR. ROY MASAMI FUJITANI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ROY MASAMI FUJITANI (M.D.)?
At a glance, DR. ROY MASAMI FUJITANI (M.D.) is tied to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROY MASAMI FUJITANI (M.D.)?
Directory geography for DR. ROY MASAMI FUJITANI (M.D.) centers on Orange, California.
Can I trust this NPI listing for DR. ROY MASAMI FUJITANI (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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