DR. TOMONORI FUKUI (M.D.) – Psychiatry Physician, NPI 1366519670

DR. TOMONORI FUKUI (M.D.) is a healthcare provider. based in Chula vista, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. A75713 (CA). The NPI Number for DR. TOMONORI FUKUI (M.D.) is 1366519670

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. TOMONORI FUKUI (M.D.)
NPI
1366519670
Phone
(209) 558-4420
Address
591 TELEGRAPH CANYON RD
Enumeration Date
29 November 2006
Last Update Date
21 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195954440
Graduation Year
1986 (40 years ago)
PAC ID
3577648161
Group Practice PAC ID
8123014057
Professional Enrollment ID
I20080306000390
Address ID
CA921131432SA3177XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

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Provider Addresses for DR. TOMONORI FUKUI (M.D.)

  • Chula Vista Repiping, 591, Telegraph Canyon Road, Chula Vista, San Diego County, California, 91910, United States

    #490

    CHULA VISTA, CA 919106436

    Phone: (209) 558-4420

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-06

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
I20080306000390IPsychiatryCATBD

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 91910)

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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: 8123014057View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
-CA
P S Y C H I A T R YCA
-CA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Clinical Social WorkerCA
Clinical PsychologistCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Does DR. TOMONORI FUKUI (M.D.) have a public NPI I can cite?
Public records show DR. TOMONORI FUKUI (M.D.) under NPI 1366519670.
Does the public listing show DR. TOMONORI FUKUI (M.D.) as active?
DR. TOMONORI FUKUI (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. TOMONORI FUKUI (M.D.) does?
Insurance directories may phrase it differently, but here DR. TOMONORI FUKUI (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TOMONORI FUKUI (M.D.)?
DR. TOMONORI FUKUI (M.D.) is associated with Chula Vista, California in the same public data insurers reference.
Who maintains DR. TOMONORI FUKUI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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