Walter Kitajima, in Fremont, CA - Medicare Dentist Provider

Walter Kitajima, is a medicare enrolled "Dentist - General Practice" provider in Fremont, California. His current practice location is 4549 Mattos Dr, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 792-6690.

Walter Kitajima is licensed to practice in California (license number D 20213) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184842692.

Contact Information

	Walter Kitajima,
	4549 Mattos Dr, Fremont, CA 94536-6736
	(510) 792-6690
	Not Available

Healthcare Provider's Profile

Full Name	Walter Kitajima
Gender	Male
Speciality	Dentist - General Practice
Location	4549 Mattos Dr, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184842692
Provider Enumeration Date: 04/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375856503
Enrollment ID: I20150717000402

Medical Identifiers

Medical identifiers for Walter Kitajima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184842692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D 20213 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter Kitajima is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Walter Kitajima, 4549 Mattos Dr, Fremont, CA 94536-6736 Ph: (510) 792-6690	Walter Kitajima, 4549 Mattos Dr, Fremont, CA 94536-6736 Ph: (510) 792-6690

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Dentist in Fremont, CA

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Dr. Lowell Thomas, DMD Dentist Medicare: Medicare Enrolled Practice Location: 46923 Warm Springs Blvd Ste 209, Fremont, CA 94539 Phone: 510-490-5578
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Punam Patel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 46921 Warm Springs Blvd Ste 203, Fremont, CA 94539 Phone: 510-792-7888
Dr. Howard Chun-cheung Tsui, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 38050 Martha Ave, Fremont, CA 94536 Phone: 510-429-9888
Dr. Matthew Moore Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 46592 Mission Blvd, Fremont, CA 94539 Phone: 510-490-3737 Fax: 510-490-1439
Dr. Archana Gulati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39200 Liberty St, Suite D, Fremont, CA 94538 Phone: 510-797-9711 Fax: 510-797-9727

Walter Kitajima, - Medicare Dentist in Fremont, CA