Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Scott Nakamoto, PA-C

Individual provider Physician Assistant · NPI 1154831915

Kyle Scott Nakamoto, PA-C is a Physician Assistant in Orange, California. Qualified in 2017, 9 years ago. Practices with Regents of the University of California, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
9
Licensed in
CA, ID
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2400 E Katella Ave Ste 400, Anaheim, CA 92806-5972 — (310) 665-7200
  • 6801 Park Ter Ste 500, Los Angeles, CA 90045-9212 — (310) 665-7200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56965 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA-1564 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154831915
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Regents Of The University Of California — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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