Kellie Kodama
Physician Assistant · Fullerton, CA
Kellie Kodama is a physician assistant with a practice address in Fullerton, California, and NPI 1164146494, issued on Sep 29, 2022. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kellie Kodama
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 11685 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 2575 Yorba Linda Blvd, Fullerton, CA 92831
- Phone
- (714) 449-7400
- Enumerated
- Sep 29, 2022
- Record last updated
- Jun 1, 2026
- Medicaid ID
- 224710 AZ
- Medicare enrollment
- Enrolled (PECOS I20240327003253); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 2575 Yorba Linda Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kellie Kodama in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
79% fewer Medicare Part D claims than the average physician assistant in 2024
176 Medicare Part D claims for 112 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Fluticasone Propionate21 claims
- Amoxicillin14 claims
- Cephalexin14 claims
- Nitrofurantoin Mono-Macro13 claims
- Azithromycin12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $462.44
20 payments; by number, the most common kind was food and beverage; the largest payer was Ironshore Pharmaceuticals Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Sunny Hills Medical Center IncFullerton, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kellie Kodama among 14,451 physician assistant records in California
Kellie Kodama is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 73% of them.
- NPI issued2022 · 73% of these records are older, 20% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2023 · median 2018 among the 7,214 with a school on file
- Record last updated2026 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
138 physician assistant records list a practice address in Fullerton
They are 138 of the 5,437 NPPES records with a practice address in Fullerton, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Fullerton → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Sahar GhoranyFullerton, CA 928311720620883
- Madison Helms, PA-CFullerton, CA 928311922649649
- Aaron HunroFullerton, CA 928311639710544
- Lora KamenovaFullerton, CA 928311831790450
- Kaitlyn Lewis, PA-CFullerton, CA 928311104391713
- Linda Luong, P.A.Fullerton, CA 928311396972626
- Brandon MackFullerton, CA 928311962045666
- Amanda May, PA-CFullerton, CA 928311811538994
Common questions
What is Kellie Kodama's NPI number?
Kellie Kodama's National Provider Identifier (NPI) is 1164146494, issued on Sep 29, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Kellie Kodama located?
The NPPES record lists a practice address at 2575 Yorba Linda Blvd, Fullerton, CA, 92831. Phone: (714) 449-7400. Providers update this record themselves, so call before visiting.
How can I verify Kellie Kodama's license?
Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Kellie Kodama prescribe under Medicare Part D?
In 2024, Kellie Kodama had 176 Medicare Part D claims for 112 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.