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Kellie Kodama

NPI 1164146494ActiveIndividual· Physician Assistant· Fullerton, CA

Physician Assistant with Good Health Medical PLLC and 1 other group, practicing in Fullerton, California. 50 Medicare patients in 2024, $5,654 paid; nearly all of their 176 Part D prescriptions were generic (97%). Neurocrine Biosciences, Inc. was the largest of 8 companies reporting payments in 2025, $338.99 in all, mostly food and beverage.

Overview

NPI1164146494
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 29, 2022
Last updated in NPPESJun 1, 2026
Certified by providerJun 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X—CA
Physician Assistant363A00000X11685AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients50
Services billed120 across 33 procedure codes
Paid by Medicare$5,654

Part D prescriptions in 2024

Prescriptions (claims)176 · 177 30-day fills
Patients112
Total drug cost$1,579
Generic share97% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$338.99 · 13 payments from 8 companies
  • 2024$462.44 · 20 payments from 10 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$338.99 · 13 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Fullerton

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