GLEN ISAMU KOMATSU M.D. NPI 1114939394

NPI Information

  • NPI: 1114939394
  • Provider Name: GLEN ISAMU KOMATSU, M.D.
  • Classification: Pain Medicine - 208VP0000X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6069 WOODFERN DR
    RANCHO PALOS VERDES, CA
    ZIP 90275
  • Phone: (310) 375-4585

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NPI Details

Glen Isamu Komatsu, M.D. is a pain medicine pain medicine in Rancho Palos Verdes, CA. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. Glen Isamu Komatsu, M.D. NPI is 1114939394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6069 WOODFERN DR
RANCHO PALOS VERDES, CA
ZIP 90275-263
Phone: (310) 375-4585
Fax: (310) 375-1735

The NPI 1114939394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, each additional 30 minutes (HCPCS:99498)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • New patient home visit, typically 75 minutes (HCPCS:99345)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineA35086CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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