MARY M OKIMOTO NP NPI 1144400771

NPI Information

NPI: 1144400771
Provider Name: MARY M OKIMOTO, NP
Classification: Clinical Nurse Specialist - 364SX0204X
Entity Type: Individual

Specialization: Oncology, Pediatrics

PECOS Registration: Yes

Address:
715 TANK FARM ROAD
SUITE C
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-5577
Get Directions

Mary M Okimoto, NP is an oncology and pediatrics clinical nurse specialist in San Luis Obispo, CA with 17 years of experience. Mary M Okimoto, NP NPI is 1144400771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

715 TANK FARM ROAD
SUITE C
SAN LUIS OBISPO, CA
ZIP 93401-068
Phone: (805) 543-5577
Fax: (805) 595-3231

The NPI 1144400771 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 enumeration date for this NPI number is 11/12/2007 and was last updated on 12/26/2015.

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
1	364SX0204X	Clinical Nurse Specialist	Oncology, Pediatrics	17444	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CB242811	OTHER	CALIFORNIA	MEDICARE ID

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: 4/28/2024

NPI Synchronization or Removal

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